STACY ANN CEDERSTROM (FNP) – Family Nurse Practitioner, NPI 1174079917
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for STACY ANN CEDERSTROM (FNP)
1120 E 34th St
Hibbing, MN 557462909
Phone: (218) 362-7100
Fax: (218) 362-7131
Type: Location
7th Street Northeast, North Industrial Park, West Fargo, Cass County, North Dakota, 58121, United States
CASS LAKE, MN 56633
Phone: (218) 335-3200
Fax: (218) 335-3300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2017-05-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170315000559 | I | Nurse Practitioner | TX | TBD |
| I20170531001596 | I | Nurse Practitioner | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 52 | 34 | $0 |
Insurance plans in this area (ZIP 55746)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| O P T O M E T R Y | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| N E P H R O L O G Y | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| General Surgery | WI | |
| Family Practice | MN | |
| Emergency Medicine, Plastic And Reconstructive Surgery, General Surgery | IA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.