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

Stacie Straus

Individual provider Primary Care Nurse Practitioner · NPI 1184169542

Stacie Straus is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2016, 10 years ago. Practices with Geriatric Services of Minnesota LLC, a 43-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2016
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Practice location Address checks out

3433 Broadway St NE Ste 300
Minneapolis, MN 55413-1761
Phone: (763) 587-7737
Fax: (763) 587-7069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence CNP 4947 (MN)

Record details

NPI number1184169542
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 21, 2016
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024

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 Geriatric Services Of Minnesota Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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