Individual provider Active NPI

Destinie Stapleton

  • Family Nurse Practitioner
  • Jackson, MN
National Provider Identifier
1649852252
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8223 Issued in MN
Practice address
1430 North Hwy
Jackson, MN 56143-1093
Phone
(507) 847-2200
NPI assigned
Apr 22, 2021
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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 8223 MN Primary

Addresses

Primary practice location

1430 North Hwy
Jackson, MN 56143-1093

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Destinie.Stapleton@Sanfordhealth.org
Direct Messaging Address dstapleton17240053@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210809001537 MN Practitioner - Nurse Practitioner 1052715315 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, shared by 49 NPIs, 357 clinicians
Windom Area HospitalGroup PAC ID 7113911272, 21 clinicians

Practice addresses (Care Compare)

1430 N Hwy
Jackson, MN 56143-1093
Phone (507) 847-2200

2150 Hospital Dr
Windom, MN 56101-1287
Phone (507) 831-0618

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8223MNMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Windom Area Hospital CurrentSince Dec 1, 2024 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Health Network Current Accepting new patients
Windom Area Hospital CurrentSince Dec 1, 2024 Accepting new patients
Sanford Health Network CurrentSince Aug 5, 2022 Accepting new patients
Sanford Health Network Current Accepting new patients
Windom Area Hospital Current Accepting new patients
Sanford Health Network Current Accepting new patients
City of Windom Ambulance Current Accepting new patients

Locations

1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200

315 Main St
Ste 300
Lakefield, MN 56150
Phone (507) 831-2400

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

920 Bell Ave
Westbrook, MN 56183
Phone (507) 274-1150

2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618

Interoperability endpoints

  • Direct secure messaging: destinie.stapleton@sanfordhealth.org
  • Direct secure messaging: dstapleton17240053@direct.sanfordhealth.org

Organizations & group practices 11

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 2

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1649852252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 NORTH HWY",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "561431093",
            "telephone_number": "507-847-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "DESTINIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Destinie.Stapleton@Sanfordhealth.org",
            "affiliation": "N",
            "address_1": "1430 North Hwy",
            "city": "Jackson",
            "state": "MN",
            "country_code": "US",
            "postal_code": "561431093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dstapleton17240053@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "1430 North Hwy",
            "city": "Jackson",
            "state": "MN",
            "country_code": "US",
            "postal_code": "561431093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MN

Sources for this page

Verify at the official NPI Registry.