STACIE BISTODEAU
NPI 1740899756
Nurse Practitioner - Family in Lakeville, MN

Active since July 26, 2020PECOS EnrolledAccepts Medicare Assignment
18465 ORCHARD TRL STE 200, LAKEVILLE, MN 55044(952) 428-0950 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2026, Jul 26, 2020 (2 updates tracked since 2020).

About Stacie Bistodeau NPPES

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

STACIE BISTODEAU (NPI 1740899756) is an individual family provider in Lakeville, Minnesota, licensed in Minnesota (7513) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Center City, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1740899756
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACIE BISTODEAU
Location Address18465 ORCHARD TRL STE 200Lakeville, MN 55044-2525
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 26, 2020
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1740899756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · 7513
18465 ORCHARD TRL STE 200, Lakeville, MN 55044

Secondary Practice Location 1

Location 115251 Pleasant Valley RdCenter City, MN 55012-9640 · Phone (800) 257-7800 · Fax (651) 213-4547

Accepted 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

Stacie Bistodeau 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 ID5597137711
PECOS Enrollment IDI20230215002219
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 55044 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

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

Specialist/Technologist (Athletic Trainer)
18465 ORCHARD TRL STE 200
LAKEVILLE, MN 55044

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 Bistodeau's NPI number?

The NPI number for Stacie Bistodeau is 1740899756. It was assigned to this individual provider in the NPPES registry on July 26, 2020.

Where is Stacie Bistodeau located?

Stacie Bistodeau practices at 18465 Orchard Trl Ste 200, Lakeville, MN 55044. The listed phone number is (952) 428-0950.

What is Stacie Bistodeau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacie Bistodeau enrolled in Medicare?

Yes. Stacie Bistodeau 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.

What insurance does Stacie Bistodeau accept?

Health plans from HealthPartners and Medica list Stacie Bistodeau 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 Bistodeau was last updated on May 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.