Stacey Boehm
NPI 1134675069ActiveIndividual· Nurse Practitioner· Rochester, MN
Nurse Practitioner with Mayo Clinic, practicing in Rochester, Minnesota. Medicare paid $1,773 for services to 15 patients in 2024. Lists Mayo Clinic Hospital Rochester as a hospital affiliation.
Overview
| NPI | 1134675069 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 31, 2016 |
| Last updated in NPPES | Aug 7, 2020 |
| Certified by provider | Aug 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 7025 | MN |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | NUR-APRN-LIC-104940 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 21 across 7 procedure codes |
| Paid by Medicare | $1,773 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Mayo ClinicRochester, MN · 4,956 clinicians
Hospital affiliation
- Mayo Clinic Hospital RochesterRochester, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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