Individual provider Active NPI

Stephanie Nguyen Apacible

  • Physician Assistant
  • Burnsville, MN
National Provider Identifier
1780440545
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15713 Issued in MN
Practice address
305 E Nicollet Blvd Ste 377
Burnsville, MN 55337-8328
Phone
(612) 625-6401
NPI assigned
Feb 27, 2024
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15713 MN Primary

Addresses

Primary practice location

305 E Nicollet Blvd Ste 377
Burnsville, MN 55337-8328

Mailing address

305 E Nicollet Blvd Ste 377
Burnsville, MN 55337-8328

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260402000014 MN Practitioner - Physician Assistant 1557846029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

720 Washington Ave SE
Suite 200
Minneapolis, MN 55414-2924

720 Washington Ave SE
Suite 300
Minneapolis, MN 55414-2904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15713MNMDPhysician Assistant

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1780440545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E NICOLLET BLVD STE 377",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553378328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E NICOLLET BLVD STE 377",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553378328",
            "telephone_number": "612-625-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APACIBLE",
        "first_name": "STEPHANIE",
        "middle_name": "NGUYEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.