Jessica Lynn Stay, MD
Family Medicine in Bemidji, MN. Individual provider (NPI-1).
NPI number1124476049
StatusActive
Last updated in NPPESApr 29, 2022
Details
- NPI
- 1124476049
- Entity type
- Individual (NPI-1)
- Name
- Jessica Lynn Stay
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2016
- Certification date
- Apr 29, 2022
- Last updated
- Apr 29, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 62728 | MN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1300 Anne St NwBemidji, MN 56601-5103
Phone 218-333-5000 · Fax 218-333-5360
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Phone 218-333-5000 · Fax 218-333-5360
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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