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NPI · 1174079917 · NPPES-sourced

Stacy Cederstrom FNP

ActiveFamily Nurse Practitioner
NPI Number
1174079917
Type 1 · Individual
Taxonomy Code
363LF0000X
Contact
(218) 335-3200
License MN · CNP4566
Last Updated
Enumerated
Primary practice addressMN · 56633
425 7th Street North EastCass Lake, MN 56633
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Also known as

  • Formerly known asTandeski, Stacy Ann

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1174079917 is registered to Stacy Cederstrom FNP, a Family Nurse Practitioner practising at 425 7th Street North East in Cass Lake, Minnesota. Family Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Stacy Cederstrom FNP has been enumerated in the National Provider Identifier (NPI) registry since 2016.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • CNP4566MN· Issued by FNP LICENSE
  • MC3911028MN· Issued by DNP

Source: NPPES public registry.

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Stacy Cederstrom FNP accepts. To confirm in-network status with your specific health plan, contact Stacy Cederstrom FNP directly at (218) 335-3200.

Frequently asked

Yes. NPI 1174079917 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (218) 335-3200.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Stacy Cederstrom FNP is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LF0000X
Last updated
Enumerated
StatusActive
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