STACIA JEPPSON
NPI 1386048247
Counselor - Professional in Minneapolis, MN

Active since October 21, 2014PECOS Enrolled
3018 LAKE SHORE DR, MINNEAPOLIS, MN 55416(320) 493-8522 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacia Jeppson NPPES

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

STACIA JEPPSON (NPI 1386048247) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (CC02209) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386048247
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACIA JEPPSON
Location Address3018 LAKE SHORE DRMinneapolis, MN 55416-4282
Mailing Address225 Muriefield DrMankato, MN 56001-7568 · (320) 493-8522
Sole ProprietorNo
Enumeration DateOctober 21, 2014
Last NPPES UpdateOctober 8, 2020
NPPES CertifiedOctober 8, 2020
✔ NPI 1386048247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC02209
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 411946275 (MN)
3018 LAKE SHORE DR, Minneapolis, MN 55416

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacia Jeppson 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.

Medicare Billing Reassignment

Medicare enrollment records show Stacia Jeppson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
151 SAINT ANDREWS CT STE 200
Mankato, MN 56001
  • Reassigned Medicare billing, Minnesota enrollment
  • 15 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.

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 Stacia Jeppson's NPI number?

The NPI number for Stacia Jeppson is 1386048247. It was assigned to this individual provider in the NPPES registry on October 21, 2014.

Where is Stacia Jeppson located?

Stacia Jeppson practices at 3018 Lake Shore Dr, Minneapolis, MN 55416. The listed phone number is (320) 493-8522.

What is Stacia Jeppson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Stacia Jeppson enrolled in Medicare?

Yes. Stacia Jeppson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacia Jeppson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacia Jeppson reassigns Medicare benefits to North Counseling, LLC (Mankato, 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 Stacia Jeppson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacia Jeppson accept?

Health plans from HealthPartners and Sanford Health Plan list Stacia Jeppson 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 Stacia Jeppson was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.