Jacob Bradley Stay, APRN, CRNA in Bemidji, MN - Medicare Certified Registered Nurse Anesthetist (crna)

Jacob Bradley Stay, APRN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bemidji, Minnesota. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice The Duluth Clinic Ltd, Sanford Health Of Northern Minnesota and his current practice location is 1300 Anne St Nw, Bemidji, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 333-5000.

Jacob Bradley Stay is licensed to practice in Minnesota (license number 347) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801165592.

Contact Information

	Jacob Bradley Stay, APRN, CRNA
	1300 Anne St Nw, Bemidji, MN 56601-5103
	(218) 333-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Bradley Stay
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	1300 Anne St Nw, Bemidji, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Bradley Stay graduated from nursing school in 2005

NPI Data:

NPI Number: 1801165592
Provider Enumeration Date: 12/25/2011
Last Update Date: 03/14/2023

Medicare PECOS Information:

PECOS PAC ID: 6901068360
Enrollment ID: I20120501000133

Medical Identifiers

Medical identifiers for Jacob Bradley Stay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801165592	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R190783-0 (Minnesota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	347 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Bemidji Medical Center	Bemidji, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Duluth Clinic Ltd	2567374283	949
Sanford Health Of Northern Minnesota	5597725168	284

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. Jacob Bradley Stay allows following entities to bill medicare on his behalf.

Entity Name	The Duluth Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229

Entity Name	Sanford Health Of Northern Minnesota
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442

Entity Name	Horseshoe Surgery Center, Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1265487474 PECOS PAC ID: 5890706899 Enrollment ID: O20060505000019

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. Jacob Bradley Stay 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
Jacob Bradley Stay, APRN, CRNA 400 E 3rd St, Duluth, MN 55805-1951 Ph: () -	Jacob Bradley Stay, APRN, CRNA 1300 Anne St Nw, Bemidji, MN 56601-5103 Ph: (218) 333-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Bemidji, MN

Dr. Sandra J Kilde, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 27040 County Road 9, Bemidji, MN 56601 Phone: 218-751-6405 Fax: 218-159-0456
Natalee Schultz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-751-5430
Michael Alan Erickson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-751-5430
Matthew B Fjeld, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-751-5430
Mrs. Kari Joy Heyn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 27040 County Road 9, Bemidji, MN 56601 Phone: 218-751-6405
Craig Stevens, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-751-5430
Matthew John Eriksson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4712 Brinkman Dr Ne, Bemidji, MN 56601 Phone: 218-277-0716

Jacob Bradley Stay, APRN, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Bemidji, MN