Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952109902 Individual Practitioner

Stephanie Jo Tillett

Licensed Practical Nurse • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Stephanie Tillett is a registered healthcare professional specializing in Licensed Practical Nurse in Saint Cloud, MN. Practice services are available at 4801 VETERANS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4801 Veterans Dr

Saint Cloud, MN 563032015

Telephone 3202556390
Associated Practice Facility / Clinic
🏢 St. Cloud Vamc Facility NPI 1235187741

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
161 Specialists

Practicing in Saint Cloud, MN (881 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-05
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MN 679965

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Practice Locations

4801 Veterans Dr

Saint Cloud, MN 563032015

Phone: 3202556390

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Mecque Phillips-Wiechmann

Licensed Practical Nurse

NPI 1073312526
Courtney Johnson

Licensed Practical Nurse

NPI 1134939093
Denise Harstad , LPN

Licensed Practical Nurse

NPI 1174332571

Licensed Practical Nurse

Richard Peterson , RN

Registered Nurse

NPI 1225847627

Registered Nurse

William Moore

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1245152834
Kristine Thralow , LPN

Licensed Practical Nurse

NPI 1265230825

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 05, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2025

Registered at 4801 VETERANS DR, SAINT CLOUD, MN 563032015 (Tel: 3202556390)

📍
Updated Business Mailing Address March 05, 2025

Registered at 17396 RIVERWOOD DR, LITTLE FALLS, MN 563456449

👤
Provider Name / Credentials Updated March 05, 2025

Recorded as STEPHANIE TILLETT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2025

Licensed Practical Nurse (License #679965 in MN)

🟢
Initial NPI Registration & Enumeration March 05, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952109902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2025
Last Update: March 05, 2025
Sole Proprietor: Yes

Mailing Address

17396 Riverwood Dr

Little Falls, MN 563456449

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.