STACEY JANE NELSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1154331627

STACEY JANE NELSON (CRNA) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R1556524 (MN). The NPI Number for STACEY JANE NELSON (CRNA) is 1154331627

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
STACEY JANE NELSON (CRNA)
NPI
1154331627
Phone
Not provided
Address
2450 RIVERSIDE AVE
Enumeration Date
8 August 2006
Last Update Date
27 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122734097
Graduation Year
2006 (20 years ago)
PAC ID
0840298725
Group Practice PAC ID
7315986064
Professional Enrollment ID
I20061201000509
Address ID
MN554541450MI2450XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for STACEY JANE NELSON (CRNA)

  • Bambini's Coffee, 2450, Riverside Avenue, Phillips, Minneapolis, Hennepin County, Minnesota, 55454, United States

    MINNEAPOLIS, MN 554541450

    Phone:

    Type: Mailing

  • Mayo Memorial Building, 420, Southeast Delaware Street, Minneapolis, Hennepin County, Minnesota, 55455, United States

    MINNEAPOLIS, MN 554550341

    Phone: (612) 626-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ABBVIE INC. ($35).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$35
View all Open Payments →|Open Payments Risk Radar →

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: 2006-12-01

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
I20061201000509ICertified Registered Nurse Anesthetist (Crna)MNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery1111$0
View full utilization report →

Insurance plans in this area (ZIP 55454)

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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: 7315986064View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YIA
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

What is the registry number for STACEY JANE NELSON (CRNA)?
The registry entry for STACEY JANE NELSON (CRNA) shows NPI 1154331627.
Is STACEY JANE NELSON (CRNA)'s NPI status active today?
Active status means STACEY JANE NELSON (CRNA)'s NPI record is not deactivated in the public file.
What services align with STACEY JANE NELSON (CRNA)'s listing?
STACEY JANE NELSON (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is STACEY JANE NELSON (CRNA) tied to Minneapolis, Minnesota?
If you are local to Minneapolis, Minnesota, STACEY JANE NELSON (CRNA) 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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