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Jacy Stone

NPI 1265831317ActiveIndividual· Nurse Practitioner· Coon Rapids, MN

Nurse Practitioner in Coon Rapids, Minnesota, trained at University of North Dakota School of Medicine (class of 2014). Their prescriptions cost Medicare Part D more than their services did: $417,972 for 8,350 claims, against $32,664 paid for services in 2024.

Overview

NPI1265831317
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 14, 2014
Last updated in NPPESAug 14, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000XR178067-5MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients107
Services billed476 across 13 procedure codes
Paid by Medicare$32,664

Part D prescriptions in 2024

Prescriptions (claims)8,350 · 8,424 30-day fills
Patients241
Total drug cost$417,972
Generic share88% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of North Dakota School of Medicine
Graduation year2014
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner providers in Coon Rapids

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