NPIMap

Individual provider Active NPI

Stacy Marie Schmitz-Jansky, PAC

  • Physician Assistant
  • Sartell, MN
National Provider Identifier
1386619633
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9676 Issued in MN
Practice address
1901 Connecticut Ave S Ste 200
Sartell, MN 56377-2554
Phone
(320) 255-5657
Fax
(320) 656-7194
NPI assigned
Feb 21, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9676 MN Primary

Addresses

Primary practice location

1901 Connecticut Ave S Ste 200
Sartell, MN 56377-2554

Mailing address

5775 Wayzata Blvd Ste 400
St Louis Park, MN 55416-1271
Phone (952) 905-5602

Other practice location 1

1406 6th Ave N
Saint Cloud, MN 56303-1900
Phone (320) 255-5656

Other practice location 2

320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000

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
I20110210001103 MN Practitioner - Physician Assistant 9335329119 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Scanning Consultants PAGroup PAC ID 9032005376, 82 clinicians

Practice addresses (Care Compare)

1901 Connecticut Ave S
Suite 200
Sartell, MN 56377-2554
Phone (320) 251-0609

5775 Wayzata Blvd
Suite 190
St Louis Park, MN 55416-2627
Phone (952) 541-1840

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9676MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cdi Twin Cities ASC LLC Current Accepting new patients
Cuyuna Regional Medical Center CurrentSince Nov 2, 2021 Accepting new patients
Medical Scanning Consultants, PA CurrentSince Nov 1, 2023 Accepting new patients
Medical Scanning Consultants PA CurrentSince Nov 1, 2023 Accepting new patients
Emergency Physicians Professional Association CurrentSince Jul 1, 2016 Accepting new patients
Emergency Physicians Professional Association CurrentSince Jul 1, 2016 Accepting new patients
Medical Scanning Consultants PA PastSince Dec 3, 2023 Accepting new patients
Emergency Physicians Professional Association Past Accepting new patients

Locations

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

3010 Denmark Ave
Eagan, MN 55121
Phone (651) 789-9900

4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1901 Connecticut Ave S
Ste 200
Sartell, MN 56377
Phone (320) 229-4633

5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416
Phone (952) 525-6338

5775 Wayzata Blvd
Ste 400
St Louis Park, MN 55416
Phone (952) 525-6338

Interoperability endpoints

  • Direct secure messaging: sschmitzjansky839@direct.centracare.com

Organizations & group practices 10

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1386619633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD STE 400",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161271",
            "telephone_number": "952-905-5602",
            "fax_number": "952-905-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CONNECTICUT AVE S STE 200",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772554",
            "telephone_number": "320-255-5657",
            "fax_number": "320-656-7194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 6th Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563031900",
            "country_code": "US",
            "telephone_number": "320-255-5656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 E Main St",
            "address_purpose": "LOCATION",
            "city": "Crosby",
            "state": "MN",
            "postal_code": "564411645",
            "country_code": "US",
            "telephone_number": "218-546-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMITZ-JANSKY",
        "first_name": "STACY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.