MS. STACY MARIE LONGNECKER M.D. NPI 1538199468

NPI Information

  • NPI: 1538199468
  • Provider Name: MS. STACY MARIE LONGNECKER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 450 EASTVOLD AVE
    ORTONVILLE, MN
    ZIP 56278
  • Phone: (320) 839-6157

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NPI Details

MS. Stacy Marie Longnecker, M.D. is a family medicine in Ortonville, MN with 21 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MS. Stacy Marie Longnecker, M.D. NPI is 1538199468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2005

The provider's business location address is:

450 EASTVOLD AVE
ORTONVILLE, MN
ZIP 56278-252
Phone: (320) 839-6157

The NPI 1538199468 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 5/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine18732MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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