STACIA R HANSON (LP) – Psychologist, NPI 1033347505

STACIA R HANSON (LP) is a healthcare provider. based in Oakdale, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LP. They hold a License No. 5101 (MN). The NPI Number for STACIA R HANSON (LP) is 1033347505

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
STACIA R HANSON (LP)
NPI
1033347505
Phone
(651) 777-5222
Address
7066 STILLWATER BLVD N
Enumeration Date
23 June 2009
Last Update Date
23 June 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7637034215
Graduation Year
2005 (21 years ago)
PAC ID
3678919610
Group Practice PAC ID
2769828706
Professional Enrollment ID
I20240312003498
Address ID
MN554354469ED7101XSXXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

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Provider Addresses for STACIA R HANSON (LP)

  • 7066, Stillwater Boulevard North, Oakdale, Washington County, Minnesota, 55128, United States

    OAKDALE, MN 551283937

    Phone: (651) 777-5222

    Fax: (651) 251-5111

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240312003498IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769828706View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorWI
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

Does STACIA R HANSON (LP) have a public NPI I can cite?
Public records show STACIA R HANSON (LP) under NPI 1033347505.
Does the public listing show STACIA R HANSON (LP) as active?
STACIA R HANSON (LP)'s NPI record reflects an active status in NPPES.
Which specialty label fits STACIA R HANSON (LP)?
NPPES ties STACIA R HANSON (LP) to Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is STACIA R HANSON (LP) tied to Oakdale, Minnesota?
If you are local to Oakdale, Minnesota, STACIA R HANSON (LP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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