Stacy Shrestha, DNP, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5318 Issued in MN

Practice address

7100 Northland Circle N
Ste 119
Brooklyn Park, MN 55428

Phone

(952) 456-6160

Fax

(952) 835-9830

NPI assigned

Oct 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stacy Lukes Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Realief Neuropathy Center of Minnesota PA

  • Physical Therapist
  • St Louis Park, MN
  • NPI 1578813911
  Medicare reassignment NPD

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1194237479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 NORTHLAND CIRCLE N",
            "address_2": "STE 119",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55428",
            "telephone_number": "952-456-6160",
            "fax_number": "952-835-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 NORTHLAND CIRCLE N",
            "address_2": "STE 119",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55428",
            "telephone_number": "952-456-6160",
            "fax_number": "952-835-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRESTHA",
        "first_name": "STACY",
        "name_prefix": "Mrs.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "2066288",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "5318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "LUKES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kassi Shiel, MA
• Shifaa Care Inc
• Igor Shilo, DDS
• Victoria Shinners
• Stephen Joseph Shirola, OD
• Joseph J Sicora, M.D.
• Jess LM Siers, LAC
• David Ato Simmons
• Susan Kay Simmons, PHARMD
• Jessica Sindt, PA C

• Nurse Practitioner in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.