Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Stacy Marie Smith , MPAS, PA-C

Physician Assistant โ€ข Bemidji, MN

Active NPI 1356668123 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1233 34th St Nw
Bemidji, MN 566015112

Call 2183335000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1233 34th St Nw

Bemidji, MN 566015112

Telephone 2183335000
Organization at the Same NPPES Address or Phone
Sanford Health Of Northern Minnesota Facility NPI 1780628149

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Sanford Health Of Northern Minnesota. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2007

Medicare patients

165 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $21,623 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $14,830 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

13,202 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$353,992 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $25.65 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

19 years (graduated 2007)

CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Stacy Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Stacy Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bemidji and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Bemidji, MN (2024, 13 clinicians with data). Median for this group: 295. Middle half: 101 to 504.

More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: 192. Middle half: 86 to 384.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Bemidji, MN (2024, 13 clinicians with data). Median for this group: $21,623. Middle half: $5,076 to $34,387.

A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: $13,293. Middle half: $6,209 to $23,808.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Bemidji, MN (2024, 13 clinicians with data). Median for this group: $14,830. Middle half: $3,926 to $24,553.

A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: $9,818. Middle half: $4,558 to $17,894.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Bemidji, MN (2024, 15 clinicians with data). Median for this group: 1,359. Middle half: 114 to 3,079.

More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Minnesota (2024, 2,421 clinicians with data). Median for this group: 226. Middle half: 71 to 825.

Part D drug cost

A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Bemidji, MN (2024, 15 clinicians with data). Median for this group: $96,803. Middle half: $771 to $330,956.

A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Minnesota (2024, 2,421 clinicians with data). Median for this group: $3,260. Middle half: $590 to $83,279.

16 active clinicians are listed under Physician Assistant with a practice address in Bemidji, MN (4,007 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bemidji

0% of these 16 clinicians have the CMS telehealth indicator.

87.5% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $25.65.

Manufacturer Payment Nature Product Type Amount ($)
Biogen, Inc.
Food and Beverage
In-kind items and services
TYSABRI General $25.65

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
173 117 $121.00 $78.28
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
77 59 $82.00 $53.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
17 14 $178.00 $116.35
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
16 12 $156.56 $44.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
12 12 $384.17 $107.52

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 481 33,354 $6,515.70 131
Levothyroxine Sodium Levothyroxine Sodium 355 27,336 $4,768.33 86
Lisinopril Lisinopril 312 20,356 $2,699.39 71
Omeprazole Omeprazole 262 16,445 $3,423.21 65
Amlodipine Besylate Amlodipine Besylate 243 17,353 $1,849.14 59
Losartan Potassium Losartan Potassium 185 14,883 $2,549.62 52
Gabapentin Gabapentin 179 9,094 $2,130.56 44
Metoprolol Succinate Metoprolol Succinate 173 11,680 $2,379.53 45
Simvastatin Simvastatin 170 11,116 $1,811.90 41
Hydrochlorothiazide Hydrochlorothiazide 156 12,722 $702.89 46
Metformin Hcl Metformin Hcl 154 8,617 $1,176.90 34
Rosuvastatin Calcium Rosuvastatin Calcium 121 9,753 $1,752.86 36
Pantoprazole Sodium Pantoprazole Sodium 109 8,417 $1,463.06 31
Tramadol Hcl Tramadol Hcl 106 1,898 $708.56 31
Furosemide Furosemide 105 4,918 $537.89 29
Albuterol Sulfate Hfa Albuterol Sulfate 94 2,360 $4,195.23 34
Sertraline Hcl Sertraline Hcl 90 6,045 $779.87 24
Fluticasone Propionate Fluticasone Propionate 84 4,050 $1,174.30 31
Montelukast Sodium Montelukast Sodium 84 5,549 $708.72 19
Trazodone Hcl Trazodone Hcl 81 4,800 $811.04 28
Famotidine Famotidine 80 3,246 $762.55 13
Duloxetine Hcl Duloxetine Hcl 76 5,340 $1,360.55 21
Bupropion Xl Bupropion Hcl 70 5,252 $1,729.88 21
Oxybutynin Chloride Er Oxybutynin Chloride 69 4,204 $1,418.36 17
Potassium Chloride Potassium Chloride 69 4,176 $2,030.86 17

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-04-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20100715000283

Enrollment State Jurisdiction

MN

PECOS Control ID

9133251804

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Sanford Health Of Northern Minnesota

1233 34th St Nw, Bemidji, MN 566015112

Phone: 2183335522

Sanford Health Of Northern Minnesota

1611 Anne St Nw, Bemidji, MN 566015114

Phone: 2183335000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1417591975

Doctor of Medicine (M.D.)

Dr. Kris Anderson , MD

Internal Medicine

NPI 1558389296

Doctor of Medicine (M.D.)

Ethan Axtman

Nurse Practitioner

NPI 1407419419
Tiffany Axtman

Nurse Practitioner

NPI 1699397042
NPI 1790419752

Doctor of Medicine (M.D.)

Ronald Bardwell , CRNA

Nurse Anesthetist, Certified Registered

NPI 1356446694

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location November 19, 2021

Registered at 1233 34TH ST NW, BEMIDJI, MN 566015112 (Tel: 2183335000)

๐Ÿ“
Updated Business Mailing Address November 19, 2021

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

โœ…
NPI Profile Active May 03, 2010

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 03, 2010

Registered at 4786 BANNING AVE, WHITE BEAR LAKE, MN 551103264 (Tel: 6514266402)

๐Ÿ“
Business Mailing Address (Initial Record) May 03, 2010

Registered at 2025 SLOAN PL, SUITE 35, SAINT PAUL, MN 551172007 (Tel: 6517721572)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 03, 2010

Recorded as STACY SMITH, MPAS, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2010

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration May 03, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356668123
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2010
Last Update: April 18, 2022
Sole Proprietor: No

Other Physician Assistants in Bemidji

All Physician Assistants in Bemidji

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.