STACIE MARIE KNUTSON
NPI 1720304439
Pediatrics - Pediatric Cardiology in Minneapolis, MN

Active since April 20, 2010PECOS EnrolledAccepts Medicare Assignment
2450 RIVERSIDE AVE, EAST BUILDING, ROOM MB560, MINNEAPOLIS, MN 55454(612) 626-2941 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacie Marie Knutson NPPES

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

STACIE MARIE KNUTSON (NPI 1720304439) is an individual pediatric cardiology provider in Minneapolis, Minnesota, licensed in Minnesota (56178) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1720304439
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameSTACIE MARIE KNUTSON
Location Address2450 RIVERSIDE AVE, EAST BUILDING, ROOM MB560Minneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave, East Building, Room Mb560Minneapolis, MN 55454-1450
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 20, 2010
Last NPPES UpdateOctober 27, 2016
✔ NPI 1720304439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in MN · 56178
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
2450 RIVERSIDE AVE, Minneapolis, MN 55454

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 Marie Knutson 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 ID8820394299
PECOS Enrollment IDI20160816003028, I20240102003353
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

10

Medicare enrollment records show Stacie Knutson reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2450 RIVERSIDE AVE, STE F140
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Also billed through NPI 1346722675 (Wisconsin)
  • 3,633 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Dentist
701 25TH AVE S, SUITE 400
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: University Of Minnesota Physicians
  • 1,453 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Home Health
825 S 8TH ST, SL10
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,247 clinicians in this Medicare group
Internal Medicine
1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Anesthesiology
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
General Acute Care Hospital
1601 GOLF COURSE RD
Grand Rapids, MN 55744
  • Reassigned Medicare billing, Minnesota enrollment
  • 555 clinicians in this Medicare group
General Acute Care Hospital
750 E 34TH ST
Hibbing, MN 55746
  • Reassigned Medicare billing, Minnesota enrollment
  • 707 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

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.

Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454

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 Knutson's NPI number?

The NPI number for Stacie Knutson is 1720304439. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Where is Stacie Knutson located?

Stacie Knutson practices at 2450 Riverside Ave East Building, Room Mb560, Minneapolis, MN 55454. The listed phone number is (612) 626-2941.

What is Stacie Knutson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Stacie Knutson enrolled in Medicare?

Yes. Stacie Knutson 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 Knutson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Knutson reassigns Medicare benefits to 10 organizations: Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN), University Of Minnesota Pediatric Dental Clinic (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN) and 5 more organizations, listed in the Medicare section above. 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 Knutson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacie Knutson accept?

Health plans from Sanford Health Plan list Stacie Knutson 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 Stacie Knutson affiliated with any hospitals?

According to CMS data, Stacie Knutson is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Stacie Knutson was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.