Stacey Ann Dehn, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

R1540242 Issued in MN

Practice address

1700 University Ave W
Saint Paul, MN 55104-3727

Phone

(651) 232-2002

Fax

(651) 326-9635

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacey Ann Hermanson 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sdehn147607@fairview.direct-ci.com

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.

• Fairview Clinics

  • Primary Care Clinic/Center
  • Minneapolis, MN
  • NPI 1346432218
  Medicare reassignment NPD
• Fairview Clinics

  • Primary Care Clinic/Center
  • Saint Paul, MN
  • NPI 1396552147
  NPD
• Fairview Clinics

  • Primary Care Clinic/Center
  • Apple Valley, MN
  • NPI 1649462508
  NPD

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1437367885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 CHILCOMBE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081627",
            "telephone_number": "651-398-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "651-232-2002",
            "fax_number": "651-326-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHN",
        "first_name": "STACEY",
        "middle_name": "ANN",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "R1540242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "HERMANSON",
            "middle_name": "ANN",
            "credential": "GNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luke Dehaan, MPT
• Colette R Deharpporte, NBCHWC
• Mattie Dehaven
• Stephan Mark Dehaven, D.C.
• Erin Nicole Dehn, PA-C
• Theresa L Del Rosario, CMT
• Mary A Del Vecchio, PSYD, CRC, LPC
• Samantha May Delacey
• Katie Delahunt, R.D.N.
• Erin C Delaney-Monjarrez

• Gerontology Nurse Practitioner in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Gerontology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.