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STACY SAMPSON D.O.
NPI 1053519264
Family Medicine in Minneapolis, MN

Active since July 10, 2007
PO BOX 1459, MINNEAPOLIS, MN 55440(800) 328-5979 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2025, Jan 11, 2023 (2 updates tracked since 2023).

About Stacy Sampson D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY SAMPSON D.O. (NPI 1053519264) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Missouri (2010003260) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1053519264
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTACY SAMPSONCredential: D.O.
Location AddressPO BOX 1459Minneapolis, MN 55440-1459
Mailing AddressPo Box 1459Minneapolis, MN 55440-1459
Phone(800) 328-5979
Sole ProprietorYes
Enumeration DateJuly 10, 2007
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1053519264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2010003260
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
PO BOX 1459, Minneapolis, MN 55440
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHEILA CHAMBLAIN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
PO BOX 1459
MINNEAPOLIS, MN 55440
Hennepin County (612) 851-4041
SANDRA ANN POLACHEK FNP-BC
Nurse Practitioner (Family)
PO BOX 1459
MINNEAPOLIS, MN 55440
Hennepin County (800) 328-5979
LAURA PAOLA TRAVERS FNP
Nurse Practitioner (Family)
PO BOX 1459
MINNEAPOLIS, MN 55440
Hennepin County (800) 328-5979
DR. ARMELA SAULI PHARMD
Pharmacist
PO BOX 1459
MINNEAPOLIS, MN 55440
Hennepin County (800) 328-5979

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Sampson's NPI number?

The NPI number for Stacy Sampson is 1053519264. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Stacy Sampson located?

Stacy Sampson practices at PO Box 1459, Minneapolis, MN 55440. The listed phone number is (800) 328-5979.

What is Stacy Sampson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stacy Sampson was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.