Stacey Thompson Mietus, APRN, CNP in Saint Paul, MN

Stacey Thompson Mietus, APRN, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Paul, Minnesota. Her current practice location is 428 Minnesota St Ste 500, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 662-9604.

Stacey Thompson Mietus is licensed to practice in Minnesota (license number 6409) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447667456.

Contact Information

	Stacey Thompson Mietus, APRN, CNP
	428 Minnesota St Ste 500, Saint Paul, MN 55101-2666
	(612) 662-9604
	(612) 474-9072

Map and Direction

Provider's Profile

Full Name	Stacey Thompson Mietus
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	428 Minnesota St Ste 500, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447667456
Provider Enumeration Date: 07/22/2014
Last Update Date: 05/14/2024

Medicare PECOS Information:

PECOS PAC ID: 4183841182
Enrollment ID: I20241121002912

Medical Identifiers

Medical identifiers for Stacey Thompson Mietus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447667456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2470293 (Minnesota)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	6409 (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. Stacey Thompson Mietus allows following entities to bill medicare on her behalf.

Entity Name	Mietus Np Mental Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851857106 PECOS PAC ID: 5597290965 Enrollment ID: O20241121002601

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. Stacey Thompson Mietus 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
Stacey Thompson Mietus, APRN, CNP 5100 42nd Ave S, Minneapolis, MN 55417-1615 Ph: (612) 226-2912	Stacey Thompson Mietus, APRN, CNP 428 Minnesota St Ste 500, Saint Paul, MN 55101-2666 Ph: (612) 662-9604

Reviews and Comments

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Stacey Thompson Mietus, APRN, CNP - Medicare Nurse Practitioner in Saint Paul, MN