Debra Lou Stassen, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

3393 Issued in MN

Practice address

3433 Broadway St NE Ste 300
Minneapolis, MN 55413-1761

Phone

(763) 587-7737

Fax

(763) 587-7069

NPI assigned

Aug 5, 2013

Last updated

May 17, 2024By the provider in NPPES

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

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

University of North Dakota School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geriatric Services of Minnesota LLCGroup PAC ID 2365667557, 44 clinicians

Genevive Aco LLCGroup PAC ID 8628585080, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairview Lakes Health Services Hospital, Wyoming, MN, CCN 240050

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genevive Aco LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Minneapolis, MN
  • NPI 1053200543
  Medicare reassignment Care Compare group NPD
• Geriatric Services of Minnesota, LLC

  dba Genevive

  • Geriatric Medicine (Family Medicine) Physician
  • Minneapolis, MN
  • NPI 1093131419
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1518399294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 BROADWAY ST NE STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131761",
            "telephone_number": "763-587-7737",
            "fax_number": "763-587-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 BROADWAY ST NE STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131761",
            "telephone_number": "763-587-7737",
            "fax_number": "763-587-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASSEN",
        "first_name": "DEBRA",
        "middle_name": "LOU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "3393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Starns
• Adele Starr, NP
• Brooke Starr
• Gary C Starr, M.D.
• Start Today Hennepin LLC
• Monica Ellen Stassi-Fritz, PHYSICIAN ASSISTANT
• State of Minnesota Minnesota Management and Budget (Minnesota Veterans Homes Dental Clinic)
• State of Minnesota-Minnesota Management and Budget (Minnesota Dept. of Veterans Affairs, MN Veterans Home Minneapolis)
• State of Minnesota-Minnesota Management and Budget (Minnesota Veterans Home - Minneapolis Adult Day Center)
• State of Minnesota-Minnesota Management and Budget (Minnesota Veterans Home - Pharmacy)

• Gerontology Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, 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 May 17, 2024; 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.