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

Stacie Bistodeau

Individual provider Family Nurse Practitioner · NPI 1740899756

Stacie Bistodeau is a Nurse Practitioner in Lakeville, Minnesota. Qualified in 2020, 6 years ago. Practices with Sasaki Medical LLC, a 21-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2020

Practice location Address checks out

18465 Orchard Trl Ste 200
Lakeville, MN 55044-2525
Phone: (952) 428-0950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15251 Pleasant Valley Rd, Center City, MN 55012-9640 — (800) 257-7800

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7513 (MN)

Record details

NPI number1740899756
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 26, 2020
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address2925 Chicago Ave, Minneapolis, MN 55407-1321

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sasaki Medical Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lakeville