Stephanie Nguyen Apacible

Key facts

NPI

1780440545

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

15713 (MN)

Practice address

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

Phone

(612) 625-6401

NPI assigned

Feb 27, 2024

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Fairview Express Care Multi-Specialty Clinic/Center · Minneapolis, MN · NPI 1053952606
  Medicare reassignment MN
• University of Minnesota Health Clinics and Surgery Center, Inc. Clinic/Center · Minneapolis, MN · NPI 1053795187
  Medicare reassignment MN

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 14, 2026.

{
    "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": []
}

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All providers in Burnsville, MN · Physician Assistant in Minnesota