STACIE STRAUS – Primary Care Nurse Practitioner, NPI 1184169542

STACIE STRAUS is a healthcare provider. based in Coon rapids, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. CNP 4947 (MN). The NPI Number for STACIE STRAUS is 1184169542

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
STACIE STRAUS
NPI
1184169542
Phone
(612) 267-2254
Address
12839 BLUEBIRD ST NW
Enumeration Date
21 December 2016
Last Update Date
21 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635877737
Graduation Year
2016 (10 years ago)
PAC ID
6002198041
Group Practice PAC ID
8628585080
Professional Enrollment ID
I20170126001388
Address ID
MN554131761MI3433XNEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for STACIE STRAUS

  • 12839, Bluebird Street Northwest, Coon Rapids, Anoka County, Minnesota, 55448, United States

    COON RAPIDS, MN 554484025

    Phone: (612) 267-2254

    Type: Mailing

  • Broadway St Ne, Northeast Washington Street, Holland, Northeast, Minneapolis, Hennepin County, Minnesota, 55418, United States

    MINNEAPOLIS, MN 554131761

    Phone: (763) 587-7737

    Fax: (763) 587-7069

    Type: Location

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: 2017-01-26

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
I20170126001388INurse PractitionerMNTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes279168$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes148141$0
99316Nursing facility discharge management, more than 30 minutes10097$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5732$0
View full utilization report →

Insurance plans in this area (ZIP 55448)

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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: 8628585080View full group profile
NameSpecialtyState
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Family PracticeMN
Nurse PractitionerMN
Family PracticeMN

Reviews

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Frequently asked questions

What identifier follows STACIE STRAUS across health systems?
The NPI 1184169542 uniquely identifies STACIE STRAUS in U.S. healthcare data.
Should I treat STACIE STRAUS as an active provider?
Patients and plans typically see STACIE STRAUS as active in the national extract.
What does the directory say STACIE STRAUS does?
Insurance directories may phrase it differently, but here STACIE STRAUS maps to Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to STACIE STRAUS?
STACIE STRAUS shows a connection to Coon Rapids, Minnesota in registry-derived data.
Can I export STACIE STRAUS's record?
You can download the official NPPES record; we summarize key fields for readability.

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