STACY RELLER CPNP-AC
NPI 1659820264
Nurse Practitioner - Pediatrics, Critical Care in Minneapolis, MN
About Stacy Reller Cpnp-ac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY RELLER CPNP-AC (NPI 1659820264) is an individual pediatrics, critical care provider in Minneapolis, Minnesota, licensed in Minnesota (CNP 4769) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Stacy Reller Cpnp-ac 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 Reassignment
Medicare enrollment records show Stacy Reller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Children's Respiratory & Critical Care Specialists PA
- 38 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 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.
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.
MINNEAPOLIS, MN 55404
MINNEAPOLIS, MN 55404
MINNEAPOLIS, MN 55404
MINNEAPOLIS, MN 55404
MINNEAPOLIS, MN 55404
MINNEAPOLIS, MN 55404
MINNEAPOLIS, MN 55404
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 Stacy Reller's NPI number?
The NPI number for Stacy Reller is 1659820264. It was assigned to this individual provider in the NPPES registry on September 23, 2016.
Where is Stacy Reller located?
Stacy Reller practices at 2530 Chicago Ave Ste 400, Minneapolis, MN 55404. The listed phone number is (612) 813-3300.
What is Stacy Reller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.
Is Stacy Reller enrolled in Medicare?
Yes. Stacy Reller 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 organization bills Medicare for Stacy Reller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Reller reassigns Medicare benefits to Children's Respiratory & Critical Care Specialists. P.A. (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 Stacy Reller'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 Stacy Reller was last updated on April 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Stacy Reller, CPNP-AC · NPI 1659820264
Pediatrics, Critical Care physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since September 23, 2016.
## Identity
- **NPI:** 1659820264 (Entity type: Individual)
- **Enumerated:** September 23, 2016
- **Primary specialty:** Nurse Practitioner - Pediatrics, Critical Care · taxonomy 363LP0222X
- **State license:** CNP 4769 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2530 CHICAGO AVE STE 400, Minneapolis, MN 55404
- **Phone:** (612) 813-3300 · **Fax:** (612) 813-3349
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Respiratory & Critical Care Specialists. P.A. (NPI 1003816505, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 26, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1659820264) · Data from the CMS NPPES public registry.