STACY M ASMUSSEN (PA) – Medical Physician Assistant, NPI 1164666772

STACY M ASMUSSEN (PA) is a healthcare provider. based in Wichita, Kansas. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. 15-00774 (KS). The NPI Number for STACY M ASMUSSEN (PA) is 1164666772

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
STACY M ASMUSSEN (PA)
NPI
1164666772
Phone
(316) 265-1308
Address
9350 E 35TH ST N
Enumeration Date
27 April 2009
Last Update Date
23 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3162651308
Graduation Year
2001 (25 years ago)
PAC ID
9032009527
Group Practice PAC ID
0345384608
Professional Enrollment ID
I20040318000255

Contacts

Secure Messaging
direct.cardiovascularconsultantsofks@ccme.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

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Provider Addresses for STACY M ASMUSSEN (PA)

  • 9350, East 35th Street North, Wichita, Sedgwick County, Kansas, 67226, United States

    STE 101

    WICHITA, KS 672262019

    Phone: (316) 265-1308

    Fax: (316) 265-4480

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $143.

Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.

Last reported payment date: 2023-11-14 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($50).

Total Amount

$143

General + Research + Ownership

Payments

8

Total payment records

General Amount

$143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040318000255IPhysician AssistantKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes240122$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5542$0
99238Hospital discharge day management, 30 minutes or less3332$0
99214Established patient office or other outpatient visit, 30-39 minutes2725$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 67226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345384608View full group profile
NameSpecialtyState
-KS
Cardiovascular Disease (Cardiology), Internal MedicineKS
-KS
-KS

Reviews

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Frequently asked questions

What is the 10-digit NPI for STACY M ASMUSSEN (PA)?
STACY M ASMUSSEN (PA) — NPI 1164666772 — is the standard way to identify this listing.
Does the file indicate STACY M ASMUSSEN (PA) is practicing under active NPI?
Directory data currently reports STACY M ASMUSSEN (PA) as active.
What is STACY M ASMUSSEN (PA)'s specialty?
The listing groups STACY M ASMUSSEN (PA) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is STACY M ASMUSSEN (PA) based?
STACY M ASMUSSEN (PA) is tied to Wichita, Kansas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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