STACY WAHL SLETTUM (FNP) – Family Nurse Practitioner, NPI 1942202403
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for STACY WAHL SLETTUM (FNP)
201 N St Paul Ave Ste 1
Fulda, MN 561313004
Phone: (507) 425-2933
Fax: (507) 425-3214
Type: Location
1216 RYANS RD STE 3
WORTHINGTON, MN 561871781
Phone: (507) 375-6522
Fax: (507) 372-6573
Type: Mailing
2040, Juniper Avenue, Slayton, Murray County, Minnesota, 56172, United States
SLAYTON, MN 561721017
Phone: (507) 836-1310
Fax: (507) 836-8530
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $112.
Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: PFIZER INC. ($33).
Total Amount
$112
General + Research + Ownership
Payments
6
Total payment records
General Amount
$112
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $33 |
| CeQur Corporation | $33 |
| Lilly USA, LLC | $31 |
| Astellas Pharma US Inc | $15 |
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: 2008-09-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080908000223 | I | Nurse Practitioner | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,200 | 12 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 370 | 180 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 303 | 163 | $0 |
| 83036 | Hemoglobin a1c level | 199 | 121 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 164 | 125 | $0 |
Insurance plans in this area (ZIP 56131)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MN | 85610 | Blood test, clotting time | 161 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Physician Assistant | SD | |
| - | SD | |
| - | SD | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| - | SD | |
| Nurse Practitioner | SD | |
| Nurse Practitioner | SD | |
| - | MN |
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