Stellis Health, PA

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

STELLIS HEALTH, PA

Practice address

1001 Hart Blvd Ste 100
Monticello, MN 55362-8929

Phone

(763) 295-2921

Fax

(763) 271-3810

NPI assigned

Sep 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason S Halvorson, MDNPI 1033139159

Title

President

Phone

(763) 295-2921

Specialties & licenses 1

Addresses

Other names 1

• Stellis Health - Monticello Clinic Other name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Stellis Health, PA

  • Multi-Specialty Clinic/Center
  • Buffalo, MN
  • NPI 1184664674

  O20031103000458

  Same enrollment
• Stellis Health, PA

  • Multi-Specialty Clinic/Center
  • Albertville, MN
  • NPI 1205022845

  O20031103000458

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason S Halvorson, MD

  • Family Medicine Physician
  • Monticello, MN
  • NPI 1033139159
  NPD Authorized official
• Franklin O. Anderson, MD

  • Family Medicine Physician
  • Buffalo, MN
  • NPI 1235303793
  NPD
• Melissa Andreotti-Revenig, P.A.-C.

  • Physician Assistant
  • Monticello, MN
  • NPI 1316954274
  NPD
• Lynsey J Barger, PA-C

  • Physician Assistant
  • Coon Rapids, MN
  • NPI 1205346459
  NPD
• Jacob Patrick Berwyn, PA-C

  • Physician Assistant
  • Monticello, MN
  • NPI 1972021038
  NPD
• Heather Block

  • Physician Assistant
  • Elk River, MN
  • NPI 1326769720
  NPD
• Jessica Borgstrom, CNM

  • Advanced Practice Midwife
  • Monticello, MN
  • NPI 1467994962
  NPD
• Matthew J Burns, PA-C

  • Physician Assistant
  • Winsted, MN
  • NPI 1316387897
  NPD
• Teresa Jane Devine, MD

  • Family Medicine Physician
  • Monticello, MN
  • NPI 1255771911
  NPD
• Matthew Michael Donovan

  • Physician Assistant
  • Buffalo, MN
  • NPI 1063100907
  NPD
• Christine Earll, PA-C

  • Physician Assistant
  • Buffalo, MN
  • NPI 1366212136
  NPD
• Christopher Douglas Elness, APRN CNP

  • Family Nurse Practitioner
  • Monticello, MN
  • NPI 1649622200
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1013103050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HART BLVD STE 100",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628929",
            "telephone_number": "763-295-2921",
            "fax_number": "763-271-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HART BLVD STE 100",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628929",
            "telephone_number": "763-295-2921",
            "fax_number": "763-271-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLIS HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "HALVORSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-295-2921",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stellis Health - Monticello Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jodi Sorenson, LICSW
• Rachael Sorenson, OTR/L
• St. Benedict'S Senior Community of Monticello
• Kendra Jo Stalpes, LPCC, LSW
• Cortney Steen
• Paul William Stokman, P.T.
• Valerie Stoll
• Kelly Strombeck, MS CCC-SLP
• Studer Chiropractic, P.C.
• April Marie Studer, D.C.,D.A.C.C.P.

• All providers in Monticello, MN
• Multi-Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.