STACEY LYNN BOYSEN – Clinical Social Worker, NPI 1912738832

STACEY LYNN BOYSEN is a healthcare provider. based in Kasson, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 22811 (MN). The NPI Number for STACEY LYNN BOYSEN is 1912738832

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
STACEY LYNN BOYSEN
NPI
1912738832
Phone
(507) 244-0398
Address
904 3RD ST SE
Enumeration Date
12 August 2024
Last Update Date
12 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072142016
Graduation Year
2022 (4 years ago)
PAC ID
6002306768
Group Practice PAC ID
0547643298
Professional Enrollment ID
I20251110003992
Address ID
MN550604544OW1880XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for STACEY LYNN BOYSEN

  • 904 3RD ST SE

    KASSON, MN 559441696

    Phone: (507) 244-0398

    Type: Mailing

  • 1880 AUSTIN RD STE 1

    OWATONNA, MN 550604544

    Phone: (507) 214-2016

    Fax: (507) 214-2017

    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: 2025-11-10

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
I20251110003992IClinical Social WorkerMNTBD

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 55944)

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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: 0547643298View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Does STACEY LYNN BOYSEN have a public NPI I can cite?
Public records show STACEY LYNN BOYSEN under NPI 1912738832.
Is STACEY LYNN BOYSEN's NPI status active today?
Active status means STACEY LYNN BOYSEN's NPI record is not deactivated in the public file.
Which specialty label fits STACEY LYNN BOYSEN?
NPPES ties STACEY LYNN BOYSEN to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit STACEY LYNN BOYSEN in Kasson, Minnesota?
For routing, start with Kasson, Minnesota for STACEY LYNN BOYSEN, then verify phone and hours locally.
Who maintains STACEY LYNN BOYSEN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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