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BAILEY STOTTRUP
NPI 1053967604
Social Worker - Clinical in Edina, MN

Active since August 09, 2019PECOS Enrolled
6401 FRANCE AVE S, EDINA, MN 55435(952) 924-2888 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2022, Aug 9, 2019 (2 updates tracked since 2019).

About Bailey Stottrup NPPES

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

BAILEY STOTTRUP (NPI 1053967604) is an individual clinical provider in Edina, Minnesota, licensed in (27744) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053967604
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBAILEY STOTTRUP
Location Address6401 FRANCE AVE SEdina, MN 55435-2104
Mailing Address6401 France Ave SEdina, MN 55435-2104
Phone(952) 924-2888
Sole ProprietorYes
Enumeration DateAugust 9, 2019
Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2022
✔ NPI 1053967604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed · 27744✔ Licensed in MN · 27744
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
6401 FRANCE AVE S, Edina, MN 55435
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bailey Stottrup is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

JAMES RAYMOND BISHOP MD
Emergency Medicine
6401 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 924-5108
TIMOTHY JORDAN MILLER
Physical Therapist
6401 FRANCE AVE S, REHAB SERVICES LL3G, FAIRVIEW SOUTHDALE HOSPITAL
EDINA, MN 55435
Hennepin County (952) 924-1313
ASHLEY M WOLFGRAM CNP
Nurse Practitioner (Acute Care)
6401 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 924-5000
JUDITH A VENASKY CRNA
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 924-5000
DAVID WILLIAM KROLL CRNA
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Hennepin County (925) 924-5000
DR. COURTNEY ERIN MCELROY M.D., M.P.H.
Hospitalist
6401 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 924-5000
KATHERINE VALIANT MSN, APRN, CCRN
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 924-5000
DIANNE VAN RAVENSWAAY CRNA
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 924-5000

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 Bailey Stottrup's NPI number?

The NPI number for Bailey Stottrup is 1053967604. It was assigned to this individual provider in the NPPES registry on August 9, 2019.

Where is Bailey Stottrup located?

Bailey Stottrup practices at 6401 France Ave S, Edina, MN 55435. The listed phone number is (952) 924-2888.

What is Bailey Stottrup's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Bailey Stottrup enrolled in Medicare?

Yes. Bailey Stottrup is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bailey Stottrup was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.