Stacy Anne Peterlin, CANP/CFNP in St Cloud, MN

Stacy Anne Peterlin, CANP/CFNP is a medicare enrolled "Nurse Practitioner - Adult Health" in St Cloud, Minnesota. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centracare Clinic and her current practice location is 1200 Sixth Ave N, Centracare Clinic, St Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 252-5131.

Stacy Anne Peterlin is licensed to practice in Minnesota (license number R164842-9) 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 1508020769.

Contact Information

	Stacy Anne Peterlin, CANP/CFNP
	1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735
	(320) 252-5131
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacy Anne Peterlin
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	1200 Sixth Ave N, St Cloud, Minnesota
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:

Stacy Anne Peterlin graduated from nursing school in 2009

NPI Data:

NPI Number: 1508020769
Provider Enumeration Date: 07/16/2008
Last Update Date: 03/29/2023

Medicare PECOS Information:

PECOS PAC ID: 0446319727
Enrollment ID: I20081030000764

Medical Identifiers

Medical identifiers for Stacy Anne Peterlin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508020769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	2008004429 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	R164842-9 (Minnesota)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	R164842-9 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Cloud Hospital	Saint cloud, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centracare Clinic	2466363395	632

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. Stacy Anne Peterlin allows following entities to bill medicare on her behalf.

Entity Name	Centracare Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293

Entity Name	St Cloud Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134

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. Stacy Anne Peterlin 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
Stacy Anne Peterlin, CANP/CFNP 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 Ph: (320) 252-5131	Stacy Anne Peterlin, CANP/CFNP 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 Ph: (320) 252-5131

Reviews and Comments

Nurse Practitioner Nurses in St Cloud, MN

Tracy Suzanne Cousin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Avenue N, St Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118
Jane Marie Suska, APRN CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Circle #2300, Centracare Clinic Health Plaza Obstetrics And Womens He, St Cloud, MN 56303 Phone: 320-654-3630 Fax: 320-654-3657
Ms. Penny L Rubesh, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1555 Northway Drive, Suite 200, St Cloud, MN 56303 Phone: 320-240-3157 Fax: 320-240-3143
Sheri L Pikus, RNC NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303 Phone: 320-252-5731
Kaylle Rose Schmit Foley, CANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5731
Sarah Catherine Babst, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303 Phone: 320-656-7020 Fax: 320-255-5714
Kristin Ann Gjerset, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-251-2700

Stacy Anne Peterlin, CANP/CFNP - Medicare Nurse Practitioner in St Cloud, MN