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STACEY A VAN LITH CRNA
NPI 1295861078
Nurse Anesthetist, Certified Registered in Minneapolis, MN

Active since February 26, 2007PECOS Enrolled
2525 CHICAGO AVE S, CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA, MINNEAPOLIS, MN 55404(612) 813-6273(612) 813-7380 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stacey A Van Lith Crna NPPES

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

STACEY A VAN LITH CRNA (NPI 1295861078) is an individual nurse anesthetist, certified registered in Minneapolis, Minnesota, licensed in Minnesota (R1118577) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1295861078
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSTACEY A VAN LITHCredential: CRNA
Location Address2525 CHICAGO AVE S, CHILDRENS HOSPITALS AND CLINICS OF MINNESOTAMinneapolis, MN 55404
Mailing Address2910 Centre Pointe Drive, 35 121a Childrens Health CareRoseville, MN 55113 · (651) 855-2109 · Fax (651) 855-2310
Phone(612) 813-6273
Fax(612) 813-7380
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 26, 2007
Last NPPES UpdateOctober 17, 2014
✔ NPI 1295861078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · R1118577
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2525 CHICAGO AVE S, Minneapolis, MN 55404
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey A Van Lith Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183808884
PECOS Enrollment IDI20110404000792
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stacey Van Lith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Childrens Health Care
Same address
Anatomic Pathology & Clinical Pathology
2525 CHICAGO AVE S
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Children's Health Care
  • 551 clinicians in this Medicare group
NPI 1053410928 (612) 813-6280
Metropolitan Anesthesia Network, LLP
11 mi
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 clinicians in this Medicare group
NPI 1558314427 (763) 559-3779

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55404 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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.

CHILDRENS HEALTH CARE
Pathology (Anatomic Pathology & Clinical Pathology)
2525 CHICAGO AVE S
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6280
MS. RACHEL FAUST LICSW
Social Worker (Clinical)
2525 CHICAGO AVE S
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6000
MARYDEE CHRISTINE CHAMBERLAIN MD
Emergency Medicine
2525 CHICAGO AVE S, CHILDRENS HOSPITALS AND CLINICS EMERGENCY PHYSICIANS MP
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6111
CHILDRENS HEALTH CARE
Clinic/Center (Emergency Care)
2525 CHICAGO AVE S
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6843
KATHARINE RAE LANGE MD
Pediatrics
2525 CHICAGO AVE S
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6000
MARY THERESE BARSNESS CRNA
Nurse Anesthetist, Certified Registered
2525 CHICAGO AVE S, CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6273
MARY C HELLER CRNA
Nurse Anesthetist, Certified Registered
2525 CHICAGO AVE S, CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6273
STEPHEN C NELSON MD
Pediatrics (Pediatric Hematology-Oncology)
2525 CHICAGO AVE S, CHILDRENS SPECIALTY CLINIC HEMATOLOGY ONCOLOGY MPLS
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-5940

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 Stacey Van Lith's NPI number?

The NPI number for Stacey Van Lith is 1295861078. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Stacey Van Lith located?

Stacey Van Lith practices at 2525 Chicago Ave S Childrens Hospitals And Clinics Of Minnesota, Minneapolis, MN 55404. The listed phone number is (612) 813-6273.

What is Stacey Van Lith's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Stacey Van Lith enrolled in Medicare?

Yes. Stacey Van Lith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacey Van Lith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Van Lith reassigns Medicare benefits to 2 organizations: Childrens Health Care (Minneapolis, MN) and Metropolitan Anesthesia Network, LLP (Plymouth, MN). Each 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 Stacey Van Lith'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 Stacey Van Lith was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.