Meghan Amanda Stadsklev, RN, CNP
Individual provider Active NPI Family Nurse Practitioner · Osakis, MN
NPI 1861648636 · NPPES record last updated Oct 21, 2024
Key facts
- NPI
- 1861648636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 384 (MN)
- Practice address
- 811 3Rd Ave E
Osakis, MN 56360-4401 - Phone
- (208) 593-0383
- NPI assigned
- Aug 13, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Alomere Health
Practice addresses (Care Compare)
610 30TH Ave W
Alexandria, MN 56308-3426
Phone (320) 763-5123
Hospital & facility affiliations
- Alomere Health
- Centracare - Long Prairie Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081027000491 | MN | Practitioner - Nurse Practitioner | 1355409954 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R167372-4 | MN | MD | Registered Nurse |
| 384 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alomere Health | Current |
Accepting new patients | |
| Douglas County Hospital | Current | Accepting new patients | |
| Alexandria Clinic PA | Current | Accepting new patients | |
| Alomere Health | Current |
Accepting new patients | |
| West Central Pathology and Laboratory Medicine PA | Current | Accepting new patients | |
| Douglas County Hospital | Past | Accepting new patients |
Locations
111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511
610 30th Ave W
Alexandria, MN 56308
Phone (320) 763-2540
811 3rd Ave E
Osakis, MN 56360
Phone (320) 763-2540
Interoperability endpoints
- mstadsklev28599@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R167372-4 | MN | |
| Family Nurse Practitioner | 363LF0000X | 384 | MN | Yes |
Addresses
Primary practice location
811 3Rd Ave E
Osakis, MN 56360-4401
Mailing address
610 30TH Ave W
Alexandria, MN 56308-3426
Phone (320) 763-2540
Other practice location 1
610 30th Ave W
Alexandria, MN 56308-3426
Phone (320) 763-2540
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861648636 | Other | MN | BCBS |
| 1861648636 | Medicaid | MN | |
| HP100037 | Other | MN | HEALTH PARTNERS |
Other providers in Osakis, MN
- Nurse Navigator Transportation LLC
- Lori Jean Rasmusen
- Susan Krista Rutten Wasson
- Bruce Michael Samson
- Colleen Savageau
- Terrace Heights Assisted Living Apartments
- Kellie Vannyhuis
- West View Assisted Living Apartments
- Angie Marie Williamson
- Ana Wood
All providers in Osakis, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.