STACY RELLER CPNP-AC
NPI 1659820264
Nurse Practitioner - Pediatrics, Critical Care in Minneapolis, MN

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Stacy Reller was last updated on April 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 23, 2016PECOS EnrolledAccepts Medicare Assignment

2530 CHICAGO AVE STE 400, MINNEAPOLIS, MN 55404(612) 813-3300(612) 813-3349 Get Directions Write a Review

NPPES record last updated: April 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 26, 2019, Sep 23, 2016 (2 updates tracked since 2016).

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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

NPI1659820264

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameSTACY RELLERCredential: CPNP-AC

Location Address2530 CHICAGO AVE STE 400Minneapolis, MN 55404

Mailing Address2530 Chicago Ave Ste 400Minneapolis, MN 55404-4387 · (612) 813-3300 · Fax (612) 813-3349

Phone(612) 813-3300

Fax(612) 813-3349

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 23, 2016

Last NPPES UpdateApril 26, 20192 updates tracked since enumeration

✔ NPI 1659820264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in MN · CNP 4769

2530 CHICAGO AVE STE 400, Minneapolis, MN 55404

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Secondary Practice Location 1

Location 12525 Chicago Ave SMinneapolis, MN 55404-4518 · Phone (612) 813-6100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3779824958

PECOS Enrollment IDI20190417000070

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.

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

$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.

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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.

ALBERTO ORIOLES MD

Pediatrics (Pediatric Critical Care Medicine)