Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacy Lynn Waack, PA-C

Individual provider Physician Assistant · NPI 1275909509

Stacy Lynn Waack, PA-C is a Physician Assistant in Ann Arbor, Michigan. Qualified in 2015, 11 years ago. Practices with Pic Indiana PC, a 148-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 23160 Halsted Rd Apt 123, Farmington Hills, MI 48335-3753 — (248) 240-4505

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007537 (MI)

Record details

NPI number1275909509
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 20, 2015
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Pic Indiana Pc — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ann Arbor