Doctor profile · Federal record

Dr. Stacy Cederstrom, FNP

Family Nurse Practitioner (CMS: Nurse Practitioner) · Nurse Practitioner · Cass Lake, MN

  • NPI 1174079917
  • Accepts Medicare
  • 10 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
425 7Th Street North East
Cass Lake, MN 56633
(218) 335-3200
fax (218) 335-3300
Additional location
1120 E 34Th St
Hibbing, MN 557462909
(218) 362-7100
fax (218) 362-7131

Credentials & registration

NPPES · NUCC
NPI registered
August 2016 — 10 yrs on file
Profile last updated
May 22, 2023
Year of graduation
2016 — 10 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State licenses (2)
Minnesota #CNP4566 · Minnesota #4566

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1174079917. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
52
Distinct HCPCS
1
Medicare allowed
$6,087
HCPCS Description Services Patients Avg allowed
99215 Established patient office or other outpatient visit, 40-54 minutes 52 34 $117

In context: peer comparison

Among 2 peers in Cass Lake Family Nurse Practitioner, average services per provider: 43. This provider delivers 1.2× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,383
Patients
220
Total drug cost
$43,101
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 191 27 $1,960
Lisinopril Generic 190 27 $534
Pantoprazole Sodium Generic 96 14 $721
Losartan Potassium Generic 94 12 $463
Hydrochlorothiazide Generic 91 13 $200
Metformin Hcl ER (Metformin Hcl) Brand 85 13 $801
Gabapentin Generic 83 13 $858
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 79 20 $1,557
Omeprazole Generic 79 15 $852
Duloxetine Hcl Generic 76 0 $935

Frequently asked questions

Auto-generated from federal data
What is Dr. Stacy Cederstrom's medical specialty?
Dr. Stacy Cederstrom practices Family Nurse Practitioner in Cass Lake, MN.
Where does Dr. Stacy Cederstrom practice?
Dr. Stacy Cederstrom practices at 425 7Th Street North East, Cass Lake, MN 56633. Office phone: 2183353200.
What is Dr. Stacy Cederstrom's NPI?
Dr. Stacy Cederstrom's National Provider Identifier (NPI) is 1174079917, issued by NPPES.
Does Dr. Stacy Cederstrom accept Medicare assignment?
Yes. Dr. Stacy Cederstrom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stacy Cederstrom commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.