STACIE BISTODEAU
NPI 1740899756
Nurse Practitioner - Family in Lakeville, MN
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
Specialties & Licenses
Secondary Practice Location 1
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 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stacie Bistodeau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lakeville, MN 55044
- Reassigned Medicare billing, Minnesota enrollment
- 3,733 clinicians in this Medicare group
Roseville, MN 55113
- Reassigned Medicare billing, Minnesota enrollment
- 13 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 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.
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.
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.
Which organizations bill Medicare for Stacie Bistodeau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Bistodeau reassigns Medicare benefits to 2 organizations: Allina Health System (Lakeville, MN) and Sasaki Medical LLC (Roseville, MN). 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 Bistodeau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacie Bistodeau accept?
Health plans from HealthPartners 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Stacie Bistodeau · NPI 1740899756
Family physician in Lakeville, Minnesota. Individual provider, active in the CMS NPPES registry since July 26, 2020.
## Identity
- **NPI:** 1740899756 (Entity type: Individual)
- **Enumerated:** July 26, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 7513 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 18465 ORCHARD TRL STE 200, Lakeville, MN 55044-2525
- **Phone:** (952) 428-0950
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1427884972, Lakeville, MN); Sasaki Medical LLC (NPI 1326490475, Roseville, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1740899756) · Data from the CMS NPPES public registry.