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

Stacy Wahl Slettum, FNP

Individual provider Family Nurse Practitioner · NPI 1942202403

Stacy Wahl Slettum, FNP is a Nurse Practitioner in Worthington, Minnesota. Qualified in 2002, 24 years ago. Practices with Avera McKennan, a 962-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
24
Licensed in
MN
In the registry since
2005
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1216 Ryans Rd Ste 3
Worthington, MN 56187-1781
Phone: (507) 375-6522
Fax: (507) 372-6573
Show map & directions

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

Additional practice locations (1)

  • 201 N St Paul Ave Ste 1, Fulda, MN 56131-3004 — (507) 425-2933

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2193 (MN)

Record details

NPI number1942202403
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 15, 2005
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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