STACY J. K. WOGERNESE (PT. DPT) – Physical Therapist, NPI 1912433848

STACY J. K. WOGERNESE (PT. DPT) is a healthcare provider. based in Wausau, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. DPT. They hold a License No. 13787-24 (WI). The NPI Number for STACY J. K. WOGERNESE (PT. DPT) is 1912433848

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
STACY J. K. WOGERNESE (PT. DPT)
NPI
1912433848
Phone
(715) 847-3796
Address
3605 STEWART AVE
Enumeration Date
11 May 2017
Last Update Date
14 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7158473000
Graduation Year
2017 (9 years ago)
PAC ID
7719255322
Group Practice PAC ID
5698071173
Professional Enrollment ID
I20170622000327
Address ID
WI544014129WA2727XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

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Provider Addresses for STACY J. K. WOGERNESE (PT. DPT)

  • Marshfield Clinic Stettin Center, 3605, Stewart Avenue, Wausau, Marathon County, Wisconsin, 54401, United States

    WAUSAU, WI 544014938

    Phone: (715) 847-3796

    Type: Location

  • State Highway 153, Mosinee, Marathon County, Wisconsin, 54455, United States

    MOSINEE, WI 544558942

    Phone: (715) 551-5336

    Type: Mailing

  • 1000 N OAK AVE

    MARSHFIELD, WI 544495703

    Phone: (715) 387-5511

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2017-06-22

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
I20170622000327IPhysical Therapist In Private PracticeWITBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19721$0
97162Evaluation for physical therapy, typically 30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 54401)

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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: 5698071173View full group profile
NameSpecialtyState
-WI
N E U R O L O G YNY
Nurse PractitionerWI
Interventional Radiology, Diagnostic RadiologyWI
-WI
P S Y C H I A T R YIL
-MI
Internal MedicineWI
Nurse PractitionerIL
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

How do payers reference STACY J. K. WOGERNESE (PT. DPT)?
For STACY J. K. WOGERNESE (PT. DPT), use NPI 1912433848 as the unique 10-digit identifier.
Would STACY J. K. WOGERNESE (PT. DPT) appear as active to a payer?
You can treat STACY J. K. WOGERNESE (PT. DPT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to STACY J. K. WOGERNESE (PT. DPT)?
STACY J. K. WOGERNESE (PT. DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with STACY J. K. WOGERNESE (PT. DPT)?
Directory geography for STACY J. K. WOGERNESE (PT. DPT) centers on Wausau, Wisconsin.
Does STACY J. K. WOGERNESE (PT. DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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