Jackie Dee Stevens, RN, CNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Zumbro Falls, Minnesota. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
59516 390th Ave, Zumbro Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 242-6242.
Jackie Dee Stevens is licensed to practice in Minnesota (license number CNP3637) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801807235.
Provider's Profile
Full Name | Jackie Dee Stevens |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 20 Years |
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Location | 59516 390th Ave, Zumbro Falls, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jackie Dee Stevens graduated from nursing school in 2005
NPI Data:
- NPI Number: 1801807235
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 04/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 7315957420
- Enrollment ID: I20060503000274
Medical Identifiers
Medical identifiers for Jackie Dee Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801807235 | NPI | - | NPPES |
5150779-00 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LG0600X | Nurse Practitioner - Gerontology | R132984-5 (Minnesota) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | CNP3637 (Minnesota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jackie Dee Stevens allows following entities to bill medicare on her behalf.
Entity Name | Nystrom & Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie Dee Stevens is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jackie Dee Stevens, RN, CNP 59516 390th Ave, Zumbro Falls, MN 55991-5161 Ph: (507) 242-6242 | Jackie Dee Stevens, RN, CNP 59516 390th Ave, Zumbro Falls, MN 55991-5161 Ph: (507) 242-6242 |
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