Individual provider Active NPI

Stacy A. Ayres, NP

  • Nurse Practitioner
  • Hudson, WI
National Provider Identifier
1073897989
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4605 Issued in WI
Practice address
625 Commerce Dr Ste 200
Hudson, WI 54016-8361
Phone
(715) 377-9617
NPI assigned
Oct 11, 2011
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4605 WI Primary

Addresses

Primary practice location

625 Commerce Dr Ste 200
Hudson, WI 54016-8361

Mailing address

625 Commerce Dr Ste 200
Hudson, WI 54016-8361
Phone (715) 377-9617

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
I20111115000690 WI Practitioner - Nurse Practitioner 8527232255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interim Hospice and Palliative CareGroup PAC ID 0749458735, 6 clinicians

Practice addresses (Care Compare)

327 N 17TH Ave
Suite 7
Wausau, WI 54401-4283
Phone (920) 494-9444

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Feb 21, 2023 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Oct 31, 2023 Accepting new patients
Interim Hospice & Palliative Care Nurse Practitioner CurrentSince Apr 15, 2024 Accepting new patients
St. Croix Valley Shared Services, Inc. CurrentSince Jul 20, 2022 Accepting new patients
Interventional Pain Specialists of Wisconsin, SC CurrentSince Jul 7, 2025 Accepting new patients
St. Croix Valley Shared Services, Inc. CurrentSince Jul 20, 2022 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Oct 31, 2023 Accepting new patients
Innovo Healthcare, LLC CurrentSince Oct 5, 2025 Accepting new patients
Interventional Pain Specialists of Wisconsin, SC CurrentSince Jul 7, 2025 Accepting new patients
Kochas Interim Healthcare Inc Past Accepting new patients
Odyssey Healthcare Holding Company PastSince Mar 12, 2023 Accepting new patients
Innovo Healthcare, LLC PastSince Apr 1, 2024 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients

Locations

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

1222 E Woodland Ave
Barron, WI 54812
Phone (715) 537-3166

1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311

733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806

401 Stageline Rd
Ste 2
Hudson, WI 54016
Phone (715) 234-7246

411 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

625 Commerce Dr
Ste 200
Hudson, WI 54016
Phone (715) 377-9617

800 West Ave S
La Crosse, WI 54601
Phone (608) 372-5951

13025 8th St
Osseo, WI 54758
Phone (715) 597-2575

2021 Cenex Dr
Unit J
Rice Lake, WI 54868
Phone (715) 234-7246

327 N 17th Ave
Ste 7
Wausau, WI 54401
Phone (715) 845-2942

510 N 17th Ave
Ste A
Wausau, WI 54401
Phone (715) 842-7707

10200 W Innovation Dr
Ste 400
Wauwatosa, WI 53226
Phone (414) 944-2000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 1

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": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1073897989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 COMMERCE DR STE 200",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168361",
            "telephone_number": "715-377-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 COMMERCE DR STE 200",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168361",
            "telephone_number": "715-377-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYRES",
        "first_name": "STACY",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

Verify at the official NPI Registry.