Ms Charlotte Louise Stack, RN, CNS - Clinical Nurse Specialist in Forest Lake, MN

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Ms Charlotte Louise Stack, RN, CNS is a Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in Forest Lake, Minnesota. Ms Charlotte Louise Stack is licensed to practice in Minnesota (license number R0917850) and her current practice location is 882 Sw 15th St., Forest Lake, Minnesota. She can be reached at her office (for appointments etc.) via phone at (651) 464-2194.

NPI number for Ms Charlotte Louise Stack is 1700955648 and her current mailing address is 573 N Day Rd, Saint Croix Falls, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700955648.

Contact Information

Ms Charlotte Louise Stack, RN, CNS
882 Sw 15th St.,
Forest Lake, MN 55025-1331
(651) 464-2194
(651) 464-5744

Map and Direction




Provider's Profile

Full NameMs Charlotte Louise Stack
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health, Adult
Location882 Sw 15th St., Forest Lake, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700955648
  • Provider Enumeration Date: 11/07/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Charlotte Louise Stack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700955648NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult R0917850 (Minnesota)Primary

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. Ms Charlotte Louise Stack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Charlotte Louise Stack, RN, CNS
573 N Day Rd,
Saint Croix Falls, WI 54024-9454

Ph: (715) 483-9688		Ms Charlotte Louise Stack, RN, CNS
882 Sw 15th St.,
Forest Lake, MN 55025-1331

Ph: (651) 464-2194

Reviews and Comments


Clinical Nurse Specialist Nurses in Forest Lake, MN

Lyn Marie Palacheck, CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 24750 Field Ave, Forest Lake, MN 55025
Phone: 651-261-5360    Fax: 651-464-4845
Aimee Nichole Neumann, CNP
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 25 Lake St N Ste 120, Forest Lake, MN 55025
Phone: 651-374-4014    Fax: 651-374-4019

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.