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

Stephanie Koivisto

Individual provider Family Nurse Practitioner · NPI 1992163554

Stephanie Koivisto is a Nurse Practitioner in Hibbing, Minnesota. Qualified in 2015, 11 years ago. Practices with Range Regional Health Services, a 346-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2016

Practice location Address checks out

990 W 41st St
Hibbing, MN 55746-3045
Phone: (218) 263-9698
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4230 (MN)

Record details

NPI number1992163554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 10, 2016
Last updated in NPPESFebruary 10, 2016
Mailing address30445 Hwy 65, Pengilly, MN 55775

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Range Regional Health Services — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hibbing