CONNIE KAY STIER — NPI 1902632490 (Licensed & Credentialed Registered Nurse, Gerontology in PRESTON, MN)

CMS-1500 Box 24J / 33a • NPI

1902632490

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WG0600X

Licensed & Credentialed Registered Nurse, Gerontology

Box 32 Service Location & ZIP+4

410 PARK LN SE, PRESTON, MN, 55965-2804

✓ 9-Digit EDI 837 ZIP+4 (55965-2804)

Practice Phone & Referral Fax

(507) 765-9986

Fax: (507) 765-9987

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1902632490 (CONNIE KAY STIER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1902632490` (NPI-1 Individual Practitioner)
Provider / Legal Name	CONNIE KAY STIER
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Gerontology NUCC Code: `163WG0600X` (Registered Nurse, Gerontology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	410 PARK LN SE, PRESTON, MN, 55965-2804
Practice Telephone / Fax	Tel: (507) 765-9986 \| Fax: (507) 765-9987
Administrative Mailing Address	410 PARK LN SE, PRESTON, MN, 55965-2804
Enumeration & Last Sync	Enumerated: 2024-09-11 \| CMS Record Updated: 2024-09-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

410 PARK LN SE, PRESTON, MN, 55965-2804

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Plain-English Taxonomy & CMS Crosswalk (163WG0600X)

What Does Taxonomy Code 163WG0600X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WG0600X translates to:
"Licensed & Credentialed Registered Nurse, Gerontology"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Gerontology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CONNIE KAY STIER)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WG0600X` — Registered Nurse, Gerontology Plain English: Licensed & Credentialed Registered Nurse, Gerontology	State: MN \| License: `R104073-9` \| Primary: Secondary
`163WG0600X` — Registered Nurse, Gerontology Plain English: Licensed & Credentialed Registered Nurse, Gerontology	State: MN \| License: `2370363` \| Primary: Yes (Primary)

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CONNIE KAY STIER (NPI #1902632490)