STACI LYNN COLLISON
NPI 1588949648
Optometrist in Bemidji, MN
About Staci Lynn Collison NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACI LYNN COLLISON (NPI 1588949648) is an individual optometrist in Bemidji, Minnesota, licensed in Minnesota (3378) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and maintains a secondary practice location in Forest Grove.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Staci Lynn Collison 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.
Medicare Billing Reassignments
2Medicare enrollment records show Staci Collison reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bemidji, MN 56601
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Sanford Health Of Northern Minnesota
- Also billed through NPI 1780628149 (Minnesota)
- 607 clinicians in this Medicare group
Duluth, MN 55807
- Reassigned Medicare billing, Minnesota enrollment
- 4 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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Bemidji Medical Center
Acute Care Hospitals · Bemidji, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Staci Collison's NPI number?
The NPI number for Staci Collison is 1588949648. It was assigned to this individual provider in the NPPES registry on October 19, 2011.
Where is Staci Collison located?
Staci Collison practices at 506 Beltrami Ave NW, Bemidji, MN 56601. The listed phone number is (218) 751-2020.
What is Staci Collison's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Staci Collison enrolled in Medicare?
Yes. Staci Collison 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.
Which organizations bill Medicare for Staci Collison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Staci Collison reassigns Medicare benefits to 2 organizations: North Country Health Services (Bemidji, MN) and Theobald Family Eye Care, LLP (Duluth, 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 Staci Collison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Staci Collison accept?
Health plans from Blue Cross Blue Shield of North Dakota, Providence Health Plan, Sanford Health Plan and Security Health Plan list Staci Collison 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.
Is Staci Collison affiliated with any hospitals?
According to CMS data, Staci Collison is affiliated with Sanford Bemidji Medical Center.
When was this NPI record last updated?
The NPPES record for Staci Collison was last updated on March 22, 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.
# Staci Lynn Collison · NPI 1588949648
Optometrist provider in Bemidji, Minnesota. Individual provider, active in the CMS NPPES registry since October 19, 2011.
## Identity
- **NPI:** 1588949648 (Entity type: Individual)
- **Enumerated:** October 19, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3378 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 506 BELTRAMI AVE NW, Bemidji, MN 56601
- **Phone:** (218) 751-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Country Health Services (NPI 1417006255, Bemidji, MN); Theobald Family Eye Care, LLP (NPI 1326133497, Duluth, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific University - College Of Optometry, class of 2014
## Record status
- **NPPES last updated:** March 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1588949648) · Data from the CMS NPPES public registry.