NICOLE STELTER – Occupational Therapist, NPI 1205079142

NICOLE STELTER is a healthcare provider. based in Baxter, Minnesota. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 103697 (MN). The NPI Number for NICOLE STELTER is 1205079142

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE STELTER
NPI
1205079142
Phone
(218) 454-7012
Address
15670 Edgewood Drive
Enumeration Date
8 April 2009
Last Update Date
28 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528318742
Graduation Year
2008 (18 years ago)
PAC ID
4880743715
Group Practice PAC ID
3173570561
Professional Enrollment ID
I20090522000223
Address ID
MN554314800BL8100XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

603 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for NICOLE STELTER

  • 15670 Edgewood Drive

    Suite 150

    Baxter, MN 564016967

    Phone: (218) 454-7012

    Type: Location

  • 820, Roy Street, Ortonville, Big Stone County, Minnesota, 56278, United States

    ORTONVILLE, MN 562781138

    Phone:

    Type: Mailing

  • 155, Radio Drive, Woodbury, Washington County, Minnesota, 55125, United States

    WOODBURY, MN 551252619

    Phone: (952) 831-8742

    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: 2009-05-22

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
I20090522000223IOccupational Therapist In Private PracticeMNTBD

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 56401)

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Provider's Procedures

NICOLE STELTER performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYMN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19340

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: 3173570561View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
-MN
Physical Medicine And RehabilitationMN
Orthopedic SurgeryMN
Occupational Therapist In Private PracticeMN
-MN
-MN
Physical Therapist In Private PracticeMN
-MN
-MN

Reviews

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Frequently asked questions

What identifier follows NICOLE STELTER across health systems?
The NPI 1205079142 uniquely identifies NICOLE STELTER in U.S. healthcare data.
Should I treat NICOLE STELTER as an active provider?
Patients and plans typically see NICOLE STELTER as active in the national extract.
What type of care does NICOLE STELTER provide?
NICOLE STELTER's profile centers on Occupational Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to NICOLE STELTER?
The directory associates NICOLE STELTER with Baxter, Minnesota. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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