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MS. STACY LEAH COLICH
NPI 1760433437
Dietitian, Registered in Cloquet, MN

Active since May 15, 2006
512 SKYLINE BLVD, COMMUNITY MEMORIAL HOSPITAL, CLOQUET, MN 55720(218) 879-4641 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Aug 3, 2017 (2 updates tracked since 2017).

About Ms. Stacy Leah Colich NPPES

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

MS. STACY LEAH COLICH (NPI 1760433437) is an individual dietitian, registered in Cloquet, Minnesota, licensed in Minnesota (1055) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1760433437
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. STACY LEAH COLICH
Location Address512 SKYLINE BLVD, COMMUNITY MEMORIAL HOSPITALCloquet, MN 55720-1199
Mailing Address512 Skyline Blvd, Community Memorial HospitalCloquet, MN 55720-1199 · (218) 879-4641
Phone(218) 879-4641
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1760433437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MN · 1055
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
512 SKYLINE BLVD, Cloquet, MN 55720
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Stacy Leah Colich is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Stacy Colich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Memorial Hospital Association
Same address
Critical Access
512 SKYLINE BLVD
Cloquet, MN 55720
  • Reassigned Medicare billing, Minnesota enrollment
  • 93 clinicians in this Medicare group
NPI 1003869082 (218) 879-4641

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

COMMUNITY MEMORIAL HOSPITAL ASSOCIATION
General Acute Care Hospital (Critical Access)
512 SKYLINE BLVD
CLOQUET, MN 55720
Carlton County (218) 879-4641
DR. BRANCE E MODIN M.D.
Surgery
512 SKYLINE BLVD
CLOQUET, MN 55720
Carlton County (218) 879-1271
LISA BETH HAY APRN, CNP
Nurse Practitioner (Family)
512 SKYLINE BLVD
CLOQUET, MN 55720
Carlton County (218) 878-7622
MR. PATRICK A BAILEY CRNA
Nurse Anesthetist, Certified Registered
512 SKYLINE BLVD
CLOQUET, MN 55720
Carlton County (218) 878-7699
PAUL JOHN VOLLMAR JR. M.D.
Anesthesiology
512 SKYLINE BLVD
CLOQUET, MN 55720
Carlton County (218) 879-4641
MRS. MARY KAY MARCINIAK RN,CDE
Registered Nurse
512 SKYLINE BLVD
CLOQUET, MN 55720
Carlton County (218) 828-7661
COMMUNITY MEMORIAL HOSPITAL ASSOCIATION
Medicare Defined Swing Bed Unit
512 SKYLINE BLVD
CLOQUET, MN 55720
Carlton County (218) 879-4641
DANIEL PAUL MCKEE MD
Internal Medicine (Gastroenterology)
512 SKYLINE BLVD
CLOQUET, MN 55720
Carlton County (218) 878-7660

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 Stacy Colich's NPI number?

The NPI number for Stacy Colich is 1760433437. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Stacy Colich located?

Stacy Colich practices at 512 Skyline Blvd Community Memorial Hospital, Cloquet, MN 55720. The listed phone number is (218) 879-4641.

What is Stacy Colich's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Stacy Colich enrolled in Medicare?

Yes. Stacy Colich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacy Colich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Colich reassigns Medicare benefits to Community Memorial Hospital Association (Cloquet, MN). The 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 Stacy Colich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacy Colich was last updated on July 21, 2022. 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.