Shawn Stafki, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

75167 Issued in MN

Practice address

421 11TH St NW
Wadena, MN 56482-1044

Phone

(218) 631-3510

Fax

(218) 631-7503

NPI assigned

Apr 17, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Astera HealthGroup PAC ID 2961395272, shared by 8 NPIs, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Astera Health Hospital, Wadena, MN, CCN 241354
• Essentia Health Hospital, Fargo, ND, CCN 350070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sstafki756463@direct.centracare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Astera Health

  • Rural Health Clinic/Center
  • Wadena, MN
  • NPI 1134305162
  Medicare reassignment NPD
• Astera Health

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1477545333
  Medicare reassignment NPD
• Astera Health

  • Rural Health Clinic/Center
  • Verndale, MN
  • NPI 1407262405
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Astera Health

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1477545333
  Care Compare affiliation
• Astera Health

  • Rural Health Clinic/Center
  • Ottertail, MN
  • NPI 1871546663

  Hospital

  Care Compare affiliation
• Innovis Health, LLC

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1376163550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 11TH ST NW",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821044",
            "telephone_number": "218-631-3510",
            "fax_number": "218-631-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 11TH ST NW",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821044",
            "telephone_number": "218-631-3510",
            "fax_number": "218-631-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFKI",
        "first_name": "SHAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-17",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "75167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Rose Skow, PHARMD
• Molly Slaby
• Timothy S Sly, P.T.
• Michelle Joy Small, BS
• Rachael Lynn Spear, CRNA
• Julie Kay Starkey-Labat, LICSW
• Melissa Lee Stave, MS, LADC, LPCC, NCC
• Corey H Tabbert, OD
• Christopher J Thanel, M.D.
• The Clinic LLC

• Family Medicine Physician in Wadena, MN
• Providers in Wadena, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.