Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Clyde Richard Stephens, PAC
Physician Assistant in Roseau, MN · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1114964780
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Registry record
Entity type Individual (Type 1)
Name Clyde Richard Stephens
Credential PAC
Sex Male
Practice address 711 Delmore Dr, Roseau, MN, 56751
Phone (218) 463-1365
Enumeration date Jun 1, 2006
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 9532 (MN) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Clyde Stephens?
The National Provider Identifier (NPI) for Clyde Stephens is 1114964780, a Type 1 (individual) record in the CMS NPPES registry.
Where does Clyde Stephens practice?
The practice location on file with NPPES is in Roseau, MN. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → David Brett Family Medicine Physician · Roseau, MN NPI 1306887773 Robert Anderson Family Medicine Physician · Roseau, MN NPI 1639260425 Ralph Herseth Family Medicine Physician · Roseau, MN NPI 1679664478 Bryon Vandewege Family Medicine Physician · Roseau, MN NPI 1720174089 Altru Health System Rural Health Clinic/Center · Roseau, MN NPI 1770672289 Luis Jain Family Medicine Physician · Roseau, MN NPI 1073603940 Altru Specialty Services, Inc. Durable Medical Equipment & Medical Supplies · Roseau, MN NPI 1053459990 Shivali Devgon Internal Medicine Physician · Roseau, MN NPI 1154632503
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.