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

Stacy Wachholtz

Individual provider Obstetrics & Gynecology Nurse Practitioner · NPI 1710605118

Stacy Wachholtz is a Nurse Practitioner in Sioux Falls, South Dakota. Qualified in 2022, 4 years ago. Practices with Pioneer Memorial Hospital and Health Services, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska and South Dakota.

Years since qualifying
4
Licensed in
NE, SD
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1500 W 22nd St Ste 301
Sioux Falls, SD 57105-1503
Phone: (605) 328-7700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4840 Dodge St # 5714, Omaha, NE 68132-3111 — (402) 558-2000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 114358 (NE)
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X · Licence CP002673 (SD)

Record details

NPI number1710605118
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2022
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pioneer Memorial Hospital And Health Services — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Sioux Falls