KYLEEANN SOPHIA STEVENS (M.D.) – Forensic Psychiatry Physician, NPI 1427234475
Forensic Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
746 PSYCHIATRY in MN
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Provider Addresses for KYLEEANN SOPHIA STEVENS (M.D.)
3200 LABORE RD STE 104
VADNAIS HEIGHTS, MN 551105186
Phone: (651) 539-7200
Type: Mailing
8271, Spring Lake Drive, Riverside Fields, Shakopee, Scott County, Minnesota, 55379, United States
SHAKOPEE, MN 553795517
Phone: (703) 244-1958
Type: Mailing
Saint Peter Regional Treatment Center, 100, Freeman Drive, Mar Wey Mobile Home Park, stp, Nicollet County, Minnesota, 56082, United States
SAINT PETER, MN 560823504
Phone: (507) 985-2009
Type: Location
400 4TH ST NW
FARIBAULT, MN 550215089
Phone: (507) 384-6830
Fax: (651) 431-7757
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: 2021-04-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210407002216 | I | Psychiatry | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Clinical Nurse Specialist (Cns) | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| P S Y C H I A T R Y | MN | |
| - | MN | |
| Nurse Practitioner | MN |
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