Individual provider Active NPI

Allison R Stache, APNP

  • Nurse Practitioner
  • Appleton, WI
National Provider Identifier
1063835288
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5646 Issued in WI
Practice address
5605 W Waterford LN
Appleton, WI 54913-8438
Phone
(920) 738-7200
Fax
(920) 273-2500
NPI assigned
Jan 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 5646 WI
Nurse Practitioner 363L00000X 5646 WI Primary
Adult Health Nurse Practitioner 363LA2200X 5646 WI

Addresses

Primary practice location

5605 W Waterford LN
Appleton, WI 54913-8438

Mailing address

5605 W Waterford LN
Appleton, WI 54913-8438
Phone (920) 738-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140321000705 WI Practitioner - Nurse Practitioner 5890926570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians

Practice addresses (Care Compare)

1405 Mill St
New London, WI 54961-2155
Phone (920) 831-5050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5646WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appleton Plastic Surgery Center, SC CurrentSince Jan 12, 2026 Accepting new patients
Thedacare, Incorporated CurrentSince Feb 6, 2014 Accepting new patients
Thedacare Medical Center - Berlin, Inc. Past Accepting new patients

Locations

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

5605 W Waterford Ln
Appleton, WI 54913
Phone (920) 738-7200

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

1516 S Commercial St
Neenah, WI 54956
Phone (920) 725-0077

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

Interoperability endpoints

  • Direct secure messaging: astache2230@direct.thedacare.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCECDD/Endpoint/FCECDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1063835288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 W WATERFORD LN",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138438",
            "telephone_number": "920-738-7200",
            "fax_number": "920-273-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W WATERFORD LN",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138438",
            "telephone_number": "920-738-7200",
            "fax_number": "920-273-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHE",
        "first_name": "ALLISON",
        "middle_name": "R",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "5646",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5646",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "5646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.