STACIE LYNN OLSON APRN, ARNP, PMHNP-BC
NPI 1669756755
Nurse Practitioner - Psychiatric/Mental Health in Moorhead, MN

Active since October 06, 2011PECOS EnrolledAccepts Medicare Assignment
819 30TH AVE S STE 206, MOORHEAD, MN 56560(218) 477-1353(218) 477-1354 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2021, Nov 16, 2021, Dec 28, 2017 (3 updates tracked since 2017).

About Stacie Lynn Olson Aprn, Arnp, Pmhnp-bc NPPES

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

STACIE LYNN OLSON APRN, ARNP, PMHNP-BC (NPI 1669756755) is an individual psychiatric/mental health provider in Moorhead, Minnesota, licensed in Minnesota (R155047-8) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1669756755
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTACIE LYNN OLSONCredential: APRN, ARNP, PMHNP-BC
Location Address819 30TH AVE S STE 206Moorhead, MN 56560-5054
Mailing Address819 30th Ave S Ste 206Moorhead, MN 56560-5054 · (182) 477-1353 · Fax (218) 477-1354
Fax(218) 477-1354
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 6, 2011
Last NPPES UpdateDecember 2, 20213 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1669756755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MN · R155047-8✔ Licensed in MN · 4287✔ Licensed in ND · R26651✔ Licensed in WA · AP61125257
819 30TH AVE S STE 206, Moorhead, MN 56560

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

Stacie Lynn Olson Aprn, Arnp, Pmhnp-bc 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 ID4880953009
PECOS Enrollment IDI20180116002855, I20230831004671
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 Reassignments

2

Medicare enrollment records show Stacie Olson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
1122 1ST AVE N
Fargo, ND 58102
  • Reassigned Medicare billing, Minnesota and North Dakota enrollments
  • 6 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
808 N 5TH AVE
Sequim, WA 98382
  • Reassigned Medicare billing, Washington enrollment
  • 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 56560 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
819 30TH AVE S STE 206
MOORHEAD, MN 56560
Clinic/Center (Adult Mental Health)
819 30TH AVE S STE 206
MOORHEAD, MN 56560

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 Stacie Olson's NPI number?

The NPI number for Stacie Olson is 1669756755. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Where is Stacie Olson located?

Stacie Olson practices at 819 30th Ave S Ste 206, Moorhead, MN 56560. The listed phone number is (218) 477-1353.

What is Stacie Olson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stacie Olson enrolled in Medicare?

Yes. Stacie Olson 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 Stacie Olson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Olson reassigns Medicare benefits to 2 organizations: Midwest Mental Health Clinic PLLC (Fargo, ND) and Jamestown S'klallam Tribe (Sequim, WA). 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 Stacie Olson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacie Olson accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners, Premera Blue Cross Blue Shield of Alaska and Sanford Health Plan list Stacie Olson 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 Stacie Olson was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.