Stacy Ann Cederstrom, FNP - Medicare Nurse Practitioner in Cass Lake, MN

Stacy Ann Cederstrom, FNP is a medicare enrolled "Nurse Practitioner - Family" in Cass Lake, Minnesota. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Department Of Health And Human Services Phs Ihs and her current practice location is 425 7th Street North East, Cass Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 335-3200.

Stacy Ann Cederstrom is licensed to practice in Minnesota (license number CNP4566) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174079917.

Contact Information

Stacy Ann Cederstrom, FNP
425 7th Street North East,
Cass Lake, MN 56633
(218) 335-3200
(218) 335-3300

Map and Direction




Provider's Profile

Full NameStacy Ann Cederstrom
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location425 7th Street North East, Cass Lake, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacy Ann Cederstrom graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1174079917
  • Provider Enumeration Date: 08/31/2016
  • Last Update Date: 05/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365727336
  • Enrollment ID: I20170315000559

Medical Identifiers

Medical identifiers for Stacy Ann Cederstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174079917NPI-NPPES
CNP4566OtherMNFNP LICENSE
MC3911028OtherMNDNP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4566 (Minnesota)Secondary
363LF0000XNurse Practitioner - Family CNP4566 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cass Lake Indian Health Services HospitalCass lake, MNHospital
Sanford Medical Center Thief River FallsThief river falls, MNHospital
Sanford Bemidji Medical CenterBemidji, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Department Of Health And Human Services Phs Ihs751787979422

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacy Ann Cederstrom allows following entities to bill medicare on her behalf.
Entity NameDepartment Of Health & Human Services Phs Ihs
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194754382
PECOS PAC ID: 7517879794
Enrollment ID: O20031105000353

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Ann Cederstrom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Nurse Practitioner Nurses in Cass Lake, MN

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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.