BENJAMIN FREDERICK STAGG OTR/L
NPI 1265113062
Occupational Therapist in Bloomington, MN
About Benjamin Frederick Stagg Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN FREDERICK STAGG OTR/L (NPI 1265113062) is an individual occupational therapist in Bloomington, Minnesota and active in the NPI registry since July 2023.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Benjamin Frederick Stagg Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Benjamin Stagg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 59 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Benjamin Stagg's NPI number?
The NPI number for Benjamin Stagg is 1265113062. It was assigned to this individual provider in the NPPES registry on July 26, 2023.
Where is Benjamin Stagg located?
Benjamin Stagg practices at 900 W 94th St, Bloomington, MN 55420. The listed phone number is (651) 738-9888.
What is Benjamin Stagg's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Benjamin Stagg enrolled in Medicare?
Yes. Benjamin Stagg is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Benjamin Stagg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Stagg reassigns Medicare benefits to Family Achievement Center Inc. (Woodbury, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Stagg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Benjamin Stagg was last updated on July 26, 2023. 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.