Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Wasem, APRN

Individual provider Gerontology Nurse Practitioner · NPI 1831724640

Stacey Wasem, APRN is a Nurse Practitioner in Canton, Ohio. Qualified in 2020, 6 years ago. Practices with Pinnacle Wound Providers, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

236 3rd St SW
Canton, OH 44702-1607
Phone: (330) 754-4431
Fax: (330) 244-8839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN.CNP.026483 (OH)

Record details

NPI number1831724640
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMarch 12, 2020
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address236 3rd St Sw, Canton, OH 44702-1607

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Pinnacle Wound Providers, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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