Stacy Ann Cederstrom, FNP | |
425 7th Street North East, Cass Lake, MN 56633 | |
(218) 335-3200 | |
(218) 335-3300 |
Full Name | Stacy Ann Cederstrom |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 425 7th Street North East, Cass Lake, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174079917 | NPI | - | NPPES |
CNP4566 | Other | MN | FNP LICENSE |
MC3911028 | Other | MN | DNP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4566 (Minnesota) | Secondary |
363LF0000X | Nurse Practitioner - Family | CNP4566 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cass Lake Indian Health Services Hospital | Cass lake, MN | Hospital |
Sanford Medical Center Thief River Falls | Thief river falls, MN | Hospital |
Sanford Bemidji Medical Center | Bemidji, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Department Of Health And Human Services Phs Ihs | 7517879794 | 22 |
Entity Name | Department Of Health & Human Services Phs Ihs |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194754382 PECOS PAC ID: 7517879794 Enrollment ID: O20031105000353 |
Mailing Address | Practice Location Address |
---|---|
Stacy Ann Cederstrom, FNP 425 7th Street North East, Cass Lake, MN 56633 Ph: (218) 335-3200 | Stacy Ann Cederstrom, FNP 425 7th Street North East, Cass Lake, MN 56633 Ph: (218) 335-3200 |
Sharon Kay Walker, FNP-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 Fax: 218-335-3227 | |
Jana Jolene Heger, GNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 Fax: 218-335-3227 | |
Mr. Duane Malterud, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 190 Sailstar Drive Nw, Cass Lake, MN 56633 Phone: 218-335-4500 | |
Christie Ann Van Hecke, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 Fax: 218-335-3327 | |
Marsha Ellen Kaehne, NP-C, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Aspen Ave., Cass Lake, MN 56633 Phone: 218-335-4521 Fax: 218-335-4541 | |
Andrea Jo Athmann-luksik, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 |