Bluestone Physician Services, P.a. | |
270 Main St N Ste 300 Stillwater MN 55082-6788 | |
(651) 342-1039 | |
(651) 342-1428 |
Full Name | Bluestone Physician Services, P.a. |
---|---|
Speciality | Family Medicine |
Location | 270 Main St N Ste 300, Stillwater, Minnesota |
Authorized Official Name and Position | Todd Allen Stivland (OWNER) |
Authorized Official Contact | 6513421039 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bluestone Physician Services, P.a. 270 Main St N Ste 300 Stillwater MN 55082-6788 Ph: (651) 342-1039 | Bluestone Physician Services, P.a. 270 Main St N Ste 300 Stillwater MN 55082-6788 Ph: (651) 342-1039 |
NPI Number | 1578595971 |
---|---|
Provider Enumeration Date | 07/07/2006 |
Last Update Date | 02/02/2024 |
Medicare PECOS PAC ID | 4486658333 |
---|---|
Medicare Enrollment ID | O20060907000047 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578595971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Shelley L Zaun |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225098353 PECOS PAC ID: 3375431752 Enrollment ID: I20040308000691 |
Provider Name | Heather Christine Pett Taylor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467418558 PECOS PAC ID: 4981671203 Enrollment ID: I20040915000418 |
Provider Name | Richard T Grode |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609837822 PECOS PAC ID: 4981653250 Enrollment ID: I20050113000955 |
Provider Name | John T Murphy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235115791 PECOS PAC ID: 7012813462 Enrollment ID: I20050325000184 |
Provider Name | Todd A Stivland |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962434357 PECOS PAC ID: 2668428525 Enrollment ID: I20050621000852 |
Provider Name | Teresa K Gray |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043273204 PECOS PAC ID: 7315970225 Enrollment ID: I20050912001182 |
Provider Name | April Dawn Abrahamson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679532246 PECOS PAC ID: 1759315534 Enrollment ID: I20050921000538 |
Provider Name | Matthew Logan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033213228 PECOS PAC ID: 5890792022 Enrollment ID: I20061101000407 |
Provider Name | Josephine Ogara |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124197140 PECOS PAC ID: 8224132246 Enrollment ID: I20070402000215 |
Provider Name | Kristen M Kajewski |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114917622 PECOS PAC ID: 3870511256 Enrollment ID: I20090716000350 |
Provider Name | Jessica M Waks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427289222 PECOS PAC ID: 4981747920 Enrollment ID: I20100129000743 |
Provider Name | Todd H Holm |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811971179 PECOS PAC ID: 7517000342 Enrollment ID: I20100202000760 |
Provider Name | Charles Ohare |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265474811 PECOS PAC ID: 6305735085 Enrollment ID: I20101101001121 |
Provider Name | Katie L Heins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366720260 PECOS PAC ID: 6800067034 Enrollment ID: I20110920000818 |
Provider Name | Leah R Bauer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043574783 PECOS PAC ID: 8921255811 Enrollment ID: I20120828000808 |
Provider Name | Cheryl A Vukmanich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851647812 PECOS PAC ID: 9436308772 Enrollment ID: I20121002000738 |
Provider Name | Jenna M Dahl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902214471 PECOS PAC ID: 3779704374 Enrollment ID: I20141023002508 |
Provider Name | Andrew D Maas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972527422 PECOS PAC ID: 6406814466 Enrollment ID: I20141210001349 |
Provider Name | Steven Robert Dilts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225405087 PECOS PAC ID: 5597066779 Enrollment ID: I20151211001388 |
Provider Name | Anna Linde Gove Stanislawski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881059707 PECOS PAC ID: 3375847247 Enrollment ID: I20160212002077 |
Provider Name | Tamara Rakke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932655420 PECOS PAC ID: 0143501080 Enrollment ID: I20170725003325 |
Provider Name | Richard Gene Nash |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417057886 PECOS PAC ID: 4880724061 Enrollment ID: I20170823003533 |
Provider Name | Dina Stewart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699290155 PECOS PAC ID: 6901170075 Enrollment ID: I20170928001262 |
Provider Name | Jaclyn Marie Lindsey |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487185997 PECOS PAC ID: 9739451089 Enrollment ID: I20180806001268 |
Provider Name | Molly Schacht |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992272504 PECOS PAC ID: 7315332467 Enrollment ID: I20220328001454 |
Provider Name | Tracy J Cowell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003546839 PECOS PAC ID: 1254711385 Enrollment ID: I20220707001965 |
Provider Name | Leah Marie Desantis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841923307 PECOS PAC ID: 4183000201 Enrollment ID: I20220927002696 |
Provider Name | Jordan Madden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699323733 PECOS PAC ID: 1951787514 Enrollment ID: I20221005000649 |
Provider Name | Katie Leigh Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275261471 PECOS PAC ID: 8820466873 Enrollment ID: I20221122002192 |
Provider Name | Natalie Beane-reeves |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811606759 PECOS PAC ID: 8123493855 Enrollment ID: I20230412000780 |
Provider Name | Amanda Sue Wollschlager |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720787237 PECOS PAC ID: 4082079843 Enrollment ID: I20230430000033 |
Provider Name | Elizabeth Buchheit |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770295396 PECOS PAC ID: 0648635110 Enrollment ID: I20230505001327 |
Provider Name | Emily Wiese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700437183 PECOS PAC ID: 0547696676 Enrollment ID: I20230905000598 |
Provider Name | Mckenzie Francis Putnam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346920055 PECOS PAC ID: 7012365661 Enrollment ID: I20231121001484 |
Provider Name | Nicolette Renee Keehr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194506741 PECOS PAC ID: 9739537382 Enrollment ID: I20231121001559 |
Provider Name | Mykenzie Stegeman Bender |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225813702 PECOS PAC ID: 2567811532 Enrollment ID: I20231215002025 |
Provider Name | Taylor Hayes Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699531616 PECOS PAC ID: 4981040060 Enrollment ID: I20240312000571 |
Provider Name | Sara Joan Jennisch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548028053 PECOS PAC ID: 8921445131 Enrollment ID: I20240325000110 |
Provider Name | Samantha Barke Jamison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861250334 PECOS PAC ID: 6305284811 Enrollment ID: I20240403001497 |
St. Croix Dermatology, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1950 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 Phone: 651-275-0500 | |
Bluestone Vbc Mn Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Main St N Ste 300, Stillwater, MN 55082 Phone: 651-342-1039 Fax: 651-342-1428 | |
Healthpartners Clinic Stillwater Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 | |
Fong Medical Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 New England Pl, Suite 220, Stillwater, MN 55082 Phone: 651-731-3664 Fax: 651-430-9981 | |
St. Croix Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5640 Memorial Ave N, Suite B, Stillwater, MN 55082 Phone: 651-430-1880 Fax: 651-430-1323 | |
Avanti Medical Group Of Minnesota Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Market Dr, Stillwater, MN 55082 Phone: 318-465-5874 |