Active NPI
Nicole Anne Stegmeier, MD
- Pediatrics Physician
- Milwaukee, WI
National Provider Identifier
1063917060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.142364
- Practice address
- 9000 W Wisconsin Ave # Ms 681
Milwaukee, WI 53226-4874 - Phone
- (414) 337-6773
- NPI assigned
- Mar 29, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 57.245900 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 35.142364 | OH | Primary |
Addresses
Primary practice location
9000 W Wisconsin Ave # Ms 681
Milwaukee, WI 53226-4874
Mailing address
6809 Maplebrooke Trce
Medina, OH 44256-6605
Phone (616) 901-4095
Other practice location 1
One Perkins Square
Akron, OH 44308
Phone (330) 543-1000
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.142364 | OH | MD | Pediatrics Physician |
| 57.245900 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1063917060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6809 MAPLEBROOKE TRCE",
"city": "MEDINA",
"state": "OH",
"postal_code": "442566605",
"telephone_number": "616-901-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE # MS 681",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-337-6773"
}
],
"practiceLocations": [
{
"address_1": "One Perkins Square",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "44308",
"country_code": "US",
"telephone_number": "330-543-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEGMEIER",
"first_name": "NICOLE",
"middle_name": "ANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-29",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "57.245900",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.142364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.