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

Stacy Ann Cederstrom, FNP

Individual provider Nurse Practitioner · NPI 1174079917

Stacy Ann Cederstrom, FNP is a Nurse Practitioner in Cass Lake, Minnesota. Qualified in 2016, 10 years ago. Practices with Sanford Health of Northern Minnesota, a 349-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

425 7th Street North E
Cass Lake, MN 56633
Phone: (218) 335-3200
Fax: (218) 335-3300
Show map & directions

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

Additional practice locations (1)

  • 1120 E 34th St, Hibbing, MN 55746-2909 — (218) 362-7100

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP4566 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 4566 (MN)

Record details

NPI number1174079917
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 31, 2016
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

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 Sanford Health Of Northern Minnesota — 349 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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