Stacie L Moritz, PA-C
Physician Assistant in Bismarck, ND. Individual provider (NPI-1).
NPI number1124075619
StatusActive
Last updated in NPPESJul 1, 2025
Details
- NPI
- 1124075619
- Entity type
- Individual (NPI-1)
- Name
- Stacie L Moritz
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 28, 2006
- Certification date
- Jul 1, 2025
- Last updated
- Jul 1, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PAC0285 | ND | Yes |
Other names
- Stacie Graf (Former Name)
Practice location
3100 N 11th St Ste 1Bismarck, ND 58503-1210
Phone 701-751-2272
Mailing address
401 N 9th StBismarck, ND 58501-4507
Phone 701-712-4556 · Fax 701-712-4191
Other practice locations
1000 E Rosser Ave
Bismarck, ND 58501-4414
Bismarck, ND 58501-4414
Phone 701-530-6000 · Fax 701-530-6430
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All 78 Physician Assistant providers in Bismarck · All 4,497 providers in Bismarck
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