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

Stacy Ann Cederstrom, FNP is a medicare enrolled "Nurse Practitioner - Family" in Cass Lake, Minnesota. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sanford Health Of Northern Minnesota, 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 Name	Stacy Ann Cederstrom
Gender	Female
Speciality	Nurse Practitioner
Experience	10 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.

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: I20170531001596

Medical Identifiers

Medical identifiers for Stacy Ann Cederstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174079917	NPI	-	NPPES
CNP4566	Other	MN	FNP LICENSE
MC3911028	Other	MN	DNP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4566 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	CNP4566 (Minnesota)	Primary

Medical Facilities Affiliation

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 Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Health Of Northern Minnesota	5597725168	354
Department Of Health And Human Services Phs Ihs	7517879794	24

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 Name	St Lukes Hospital Of Duluth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212

Entity Name	St. Joseph's Area Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023086055 PECOS PAC ID: 0345146510 Enrollment ID: O20031209000521

Entity Name	Sanford Health Of Northern Minnesota
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442

Entity Name	Sanford Health Network North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429

Entity Name	Sanford Health Network North
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1043218753 PECOS PAC ID: 8022206663 Enrollment ID: O20180222001872

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 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

Reviews and Comments

Nurse Practitioner Nurses in Cass Lake, MN

Sharon Kay Walker, FNP-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare 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 Pater, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200

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