DR. JOHN ALAN STOLTZFUS PH.D.
NPI 1164635975
Psychologist in Shoreview, MN

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
521 TANGLEWOOD DRIVE, SHOREVIEW, MN 55126(651) 486-0122(651) 490-5215 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Alan Stoltzfus Ph.d. NPPES

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

DR. JOHN ALAN STOLTZFUS PH.D. (NPI 1164635975) is an individual psychologist in Shoreview, Minnesota, licensed in Minnesota (LP2280) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1164635975
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOHN ALAN STOLTZFUSCredential: PH.D.
Location Address521 TANGLEWOOD DRIVEShoreview, MN 55126
Mailing Address4500 Foothill TrailVadnais Heights, MN 55127 · (651) 481-4997 · Fax (651) 490-5215
Fax(651) 490-5215
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateMay 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1164635975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP2280
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
521 TANGLEWOOD DRIVE, Shoreview, MN 55126

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Alan Stoltzfus Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810135829
PECOS Enrollment IDI20140314000502
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.

Other Providers at the Same Location NPPES 3

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

Nutritionist
521 TANGLEWOOD DRIVE
SHOREVIEW, MN 55126
Psychologist (Clinical)
521 TANGLEWOOD DRIVE
SHOREVIEW, MN 55126
Psychologist
521 TANGLEWOOD DRIVE
SHOREVIEW, MN 55126

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 John Stoltzfus's NPI number?

The NPI number for John Stoltzfus is 1164635975. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is John Stoltzfus located?

John Stoltzfus practices at 521 Tanglewood Drive, Shoreview, MN 55126. The listed phone number is (651) 486-0122.

What is John Stoltzfus's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is John Stoltzfus enrolled in Medicare?

Yes. John Stoltzfus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Stoltzfus accept?

Health plans from HealthPartners list John Stoltzfus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Stoltzfus was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.