Active NPI
Staccia McCulley, RN BSN
- School Registered Nurse
- Grafton, WI
National Provider Identifier
1043146012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 220873-30
- Practice address
- 1950 Washington St
Grafton, WI 53024-2103 - Phone
- (262) 376-5415
- Fax
- (262) 376-5414
- NPI assigned
- Jun 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 220873-30 | WI | Primary |
Addresses
Primary practice location
1950 Washington St
Grafton, WI 53024-2103
Mailing address
1950 Washington St
Grafton, WI 53024-2103
Phone (262) 376-5415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1043146012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 WASHINGTON ST",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530242103",
"telephone_number": "262-376-5415",
"fax_number": "262-376-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 WASHINGTON ST",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530242103",
"telephone_number": "262-376-5415",
"fax_number": "262-376-5414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLEY",
"first_name": "STACCIA",
"credential": "RN BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-18",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WI",
"license": "220873-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grafton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.