Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacey Boehm

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1134675069

Stacey Boehm is a Nurse Practitioner in Rochester, Minnesota. Qualified in 2016, 10 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and Montana.

Years since qualifying
10
Licensed in
MN, MT
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

200 1st St SW
Rochester, MN 55905
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 500 W Broadway St, Missoula, MT 59802-4008 — (406) 543-7272
  • 500 W Broadway St, Missoula, MT 59802-4008 — (406) 543-7272

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7025 (MN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence NUR-APRN-LIC-104940 (MT)

Record details

NPI number1134675069
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2016
Last updated in NPPESAugust 7, 2020
Certification dateAugust 7, 2020
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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