DACOTAH STEPHEN ANDERSON MD
NPI 1598460339
Emergency Medicine in Maplewood, MN

Active since April 03, 2023PECOS Enrolled
1575 BEAM AVE, MAPLEWOOD, MN 55109(651) 232-7348 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2026, Apr 3, 2023 (2 updates tracked since 2023).

About Dacotah Stephen Anderson Md NPPES

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

DACOTAH STEPHEN ANDERSON MD (NPI 1598460339) is an individual emergency medicine provider in Maplewood, Minnesota, licensed in Minnesota (82556) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1598460339
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDACOTAH STEPHEN ANDERSONCredential: MD
Location Address1575 BEAM AVEMaplewood, MN 55109-1126
Mailing Address2829 University Ave Se Ste 730Minneapolis, MN 55414-3279
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 3, 2023
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1598460339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MN · 82556✔ Licensed in WI · 87494-20
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1575 BEAM AVE, Maplewood, MN 55109

Secondary Practice Locations 3

Location 11925 Woodwinds DrWoodbury, MN 55125-4445 · Phone (651) 232-0348
Location 22250 NW 26th StOwatonna, MN 55060-5503 · Phone (507) 451-3850
Location 3235 E State StSaint Croix Falls, WI 54024-4117 · Phone (715) 483-0555

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dacotah Stephen Anderson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547729691
PECOS Enrollment IDI20260828001401
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 Dacotah Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
2829 UNIVERSITY AVE SE STE 730
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • 218 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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.

Anesthesiology
1575 BEAM AVE
MAPLEWOOD, MN 55109
Interpreter
1575 BEAM AVE
MAPLEWOOD, MN 55109
Nurse Practitioner (Neonatal)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Emergency Medicine
1575 BEAM AVE
MAPLEWOOD, MN 55109
Emergency Medicine
1575 BEAM AVE
MAPLEWOOD, MN 55109
Radiology (Radiation Oncology)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Interpreter
1575 BEAM AVE
SAINT PAUL, MN 55109
Pharmacy (Institutional Pharmacy)
1575 BEAM AVE
MAPLEWOOD, MN 55109

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 Dacotah Anderson's NPI number?

The NPI number for Dacotah Anderson is 1598460339. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Dacotah Anderson located?

Dacotah Anderson practices at 1575 Beam Ave, Maplewood, MN 55109. The listed phone number is (651) 232-7348.

What is Dacotah Anderson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Dacotah Anderson enrolled in Medicare?

Yes. Dacotah Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dacotah Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dacotah Anderson reassigns Medicare benefits to Emergency Care Consultants, PA (Minneapolis, 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 Dacotah Anderson'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 Dacotah Anderson was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.