STEPHANIE MARIE NWALA – Physician Assistant, NPI 1508129255

STEPHANIE MARIE NWALA is a healthcare provider. based in Windom, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold a License No. 2573 (MN). The NPI Number for STEPHANIE MARIE NWALA is 1508129255

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE MARIE NWALA
NPI
1508129255
Phone
(507) 831-1703
Address
820 2ND AVE N
Enumeration Date
18 June 2012
Last Update Date
14 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5078311703
Graduation Year
2012 (14 years ago)
PAC ID
3072749423
Group Practice PAC ID
0345157103
Professional Enrollment ID
I20161107001254
Address ID
MN561011761WI2020XDRIV301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for STEPHANIE MARIE NWALA

  • 820 2ND AVE N

    WINDOM, MN 561011761

    Phone: (507) 831-1703

    Fax: (507) 831-4170

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-11-07

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
I20161107001254IPhysician AssistantMNTBD

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
36415Insertion of needle into vein for collection of blood sample6230$0
80053Blood test, comprehensive group of blood chemicals3324$0
83036Hemoglobin a1c level2414$0
81001Manual urinalysis test with examination using microscope, automated2321$0
80061Blood test, lipids (cholesterol and triglycerides)1716$0
View full utilization report →

Insurance plans in this area (ZIP 56101)

Loading plans...

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: 0345157103View full group profile
NameSpecialtyState
Nurse PractitionerIA
-SD
Internal Medicine, HospitalistSD
-MN
Physical Therapist In Private PracticeSD
-SD
Diagnostic RadiologyOK
Nurse PractitionerSD
Nurse PractitionerSD
Hospice/Palliative CareSD

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is STEPHANIE MARIE NWALA identified in CMS data?
CMS-hosted NPPES data lists STEPHANIE MARIE NWALA with NPI 1508129255.
Does the file indicate STEPHANIE MARIE NWALA is practicing under active NPI?
Directory data currently reports STEPHANIE MARIE NWALA as active.
What is STEPHANIE MARIE NWALA best known for clinically?
Directory data describes STEPHANIE MARIE NWALA with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does STEPHANIE MARIE NWALA serve?
STEPHANIE MARIE NWALA's listing highlights Windom, Minnesota; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

1000 Lincoln Cir SE Ste 100
NPI: 1194733535
901 4th St NW
NPI: 1093090342

MEGAN SHARON POHLMAN (PA-C)

Physician Assistant
591 2nd Ave N
NPI: 1902323405

ALETTIE JANE LEWIS (PA-C)

Physician Assistant
Red Leaf Court, Windom, Cottonwood County, Minnesota, 56101, United States
NPI: 1932755402