JACKIE DEE STEVENS RN, CNP
NPI 1801807235
Nurse Practitioner - Gerontology in Zumbro Falls, MN

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
59516 390TH AVE, ZUMBRO FALLS, MN 55991(507) 242-6242(507) 398-9086 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Dee Stevens Rn, Cnp NPPES

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

JACKIE DEE STEVENS RN, CNP (NPI 1801807235) is an individual gerontology provider in Zumbro Falls, Minnesota, licensed in Minnesota (CNP3637) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1801807235
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJACKIE DEE STEVENSCredential: RN, CNP
Location Address59516 390TH AVEZumbro Falls, MN 55991-5161
Mailing Address59516 390th AveZumbro Falls, MN 55991-5161 · (507) 242-6242 · Fax (507) 398-9086
Fax(507) 398-9086
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 10, 2006
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
NPI 1801807235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses Licensed in MN · CNP3637 Licensed in MN · R132984-5
59516 390TH AVE, Zumbro Falls, MN 55991

Other Identifiers 1

Medicaid5150779-00MN

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

Jackie Dee Stevens Rn, Cnp 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 ID7315957420
PECOS Enrollment IDI20060503000274
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
66 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55991 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.

Nurse Practitioner (Psychiatric/Mental Health)
59516 390TH AVE
ZUMBRO FALLS, MN 55991

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 Jackie Stevens's NPI number?

The NPI number for Jackie Stevens is 1801807235. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Jackie Stevens located?

Jackie Stevens practices at 59516 390th Ave, Zumbro Falls, MN 55991. The listed phone number is (507) 242-6242.

What is Jackie Stevens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jackie Stevens enrolled in Medicare?

Yes. Jackie Stevens 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.

When was this NPI record last updated?

The NPPES record for Jackie Stevens was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.