Active NPI
Keith D Stueve, PA
- Medical Physician Assistant
- Shakopee, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 7166
- Practice address
- 4201 Dean Lakes Blvd Ste 120
Shakopee, MN 55379-2850 - Phone
- (952) 496-6700
- NPI assigned
- Apr 12, 2022
- Last updated
- Jul 15, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 7166 | WI | Primary |
| Physician Assistant | 363A00000X | 15655 | MN |
Addresses
Primary practice location
4201 Dean Lakes Blvd Ste 120
Shakopee, MN 55379-2850
Mailing address
PO Box 43
Minneapolis, MN 55440-0043
Other practice location 1
402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-6350
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kstueve812675@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7166 | WI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moundview Memorial Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc | Current | Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc. | Current | Accepting new patients |
Locations
402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
Interoperability endpoints
- kstueve759019@direct.emplifyhealth.org
Organizations & group practices 3
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.
-
dba Gundersen Moundview Hospital and Clinics, Inc.
- Critical Access Hospital
- Friendship, WI
- NPI 1710939533
-
dba Gundersen Moundview Hospital and Clinics
- Clinic Pharmacy
- Friendship, WI
- NPI 1669056693
-
dba Gundersen Moundview Hospital and Clinics, Inc.
- Medicare Defined Swing Bed Hospital Unit
- Friendship, WI
- NPI 1720147366
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gundersen Moundview Hospital and Clinics, Inc.
- Critical Access Hospital
- Friendship, WI
- NPI 1710939533
-
dba Aveanna Home Health
- Home Health Agency
- Madison, WI
- NPI 1568469070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1871235564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554400043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 DEAN LAKES BLVD STE 120",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553792850",
"telephone_number": "952-496-6700"
}
],
"practiceLocations": [
{
"address_1": "402 W Lake St",
"address_purpose": "LOCATION",
"city": "Friendship",
"state": "WI",
"postal_code": "539349699",
"country_code": "US",
"telephone_number": "608-339-6350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUEVE",
"first_name": "KEITH",
"middle_name": "D",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-12",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WI",
"license": "7166",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "15655",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kstueve812675@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "cda/pdf/txt",
"address_1": "4201 Dean Lakes Blvd Ste 120",
"city": "Shakopee",
"state": "MN",
"country_code": "US",
"postal_code": "553792850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.