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Active NPI 1124981071 Individual Practitioner Female Practitioner

Michelle Stachowski , LSN, RN, PHN

Registered Nurse - School • Moorhead, MN

Professional Overview & Biography Verified Profile Summary

Michelle Stachowski, LSN, RN, PHN is a registered healthcare professional specializing in Registered Nurse - School in Moorhead, MN. Practice services are available at 3601 12TH AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3601 12th Ave S

Moorhead, MN 565608100

Telephone 2182848311
Fax 2182846533

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - School in Moorhead, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Moorhead, MN (125 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-08
Registered Nurse - School Primary Specialty

NUCC Taxonomy Code: 163WS0200X

State License MN 23078995

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Rebecca Bayliss , RN

Registered Nurse - School

NPI 1720941651

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active December 08, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2025

Registered at 3601 12TH AVE S, MOORHEAD, MN 565608100 (Tel: 2182848311)

📍
Updated Business Mailing Address December 08, 2025

Registered at 3601 12TH AVE S, MOORHEAD, MN 565608100 (Tel: 2182848311)

👤
Provider Name / Credentials Updated December 08, 2025

Recorded as MICHELLE STACHOWSKI, LSN,RN,PHN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2025

Registered Nurse (License #23078995 in MN)

🟢
Initial NPI Registration & Enumeration December 08, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124981071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2025
Last Update: December 08, 2025
Sole Proprietor: No
Update or Correct Profile

Mailing Address

3601 12th Ave S

Moorhead, MN 565608100

Phone: 2182848311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.