NPIMap

Individual provider Active NPI

Mykenzie Stegeman Bender, DNP, CNP, FNP-C

  • Family Nurse Practitioner
  • Otsego, MN
National Provider Identifier
1225813702
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10721 Issued in MN
Practice address
12252 69TH LN NE
Otsego, MN 55330-5050
Phone
(763) 447-0155
NPI assigned
Aug 31, 2023
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10721 MN Primary

Addresses

Primary practice location

12252 69TH LN NE
Otsego, MN 55330-5050

Mailing address

12252 69TH LN NE
Otsego, MN 55330-5050
Phone (763) 447-0155

Other names 1

  • Mykenzie Sara Stegeman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215002025 MN Practitioner - Nurse Practitioner 2567811532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bluestone Physician Services PAGroup PAC ID 4486658333, 61 clinicians

Practice addresses (Care Compare)

270 Main St N
Suite 300
Stillwater, MN 55082-6788
Phone (651) 342-1039

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10721MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Physician Services, P.a. CurrentSince Feb 5, 2024 Accepting new patients

Locations

270 Main St N
Ste 300
Stillwater, MN 55082
Phone (651) 342-1039

Organizations & group practices 1

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

Hospital & facility affiliations 43

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1225813702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12252 69TH LN NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553305050",
            "telephone_number": "763-447-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12252 69TH LN NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553305050",
            "telephone_number": "763-447-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "MYKENZIE",
        "middle_name": "STEGEMAN",
        "credential": "DNP, CNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "10721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYKENZIE",
            "last_name": "STEGEMAN",
            "middle_name": "SARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Otsego, MN

Sources for this page

Verify at the official NPI Registry.