Individual provider Active NPI

Stephanie K Mundt, APNP

  • Family Nurse Practitioner
  • Weston, WI
National Provider Identifier
1093148512
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5373 Issued in WI
Practice address
Marshfield Clinic Weston Center
3400 Ministry Pkwy
Weston, WI 54476-5213
Phone
(715) 393-1000
NPI assigned
Aug 20, 2013
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5373 WI
Family Nurse Practitioner 363LF0000X 5373 WI Primary

Addresses

Primary practice location

Marshfield Clinic Weston Center
3400 Ministry Pkwy
Weston, WI 54476-5213

Mailing address

5412 US Highway 10 E
Stevens Point, WI 54482-8559
Phone (715) 346-5243

Other practice location 1

5412 US Highway 10 E
Stevens Point, WI 54482-8559
Phone (715) 346-5243

Other identifiers 2

IdentifierTypeStateIssuer
5373OtherWIWI STATE APNP LIC
148158OtherWIWI STATE RN LIC

Other names 1

  • Ms. Stephanie K Mortenson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

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
I20130923000199 WI Practitioner - Nurse Practitioner 3971747585 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5373WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Sep 30, 2021 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 3, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Sep 30, 2021 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Aug 29, 2013 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 30, 2021 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Aug 29, 2013 Accepting new patients
Flambeau Hospital Inc CurrentSince Mar 3, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 30, 2021 Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 30, 2021 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 3, 2025 Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

4100 State Highway 66
Stevens Point, WI 54482
Phone (715) 343-7700

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

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: stephanie.mundt@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1093148512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 US HIGHWAY 10 E",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828559",
            "telephone_number": "715-346-5243",
            "fax_number": "715-346-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARSHFIELD CLINIC WESTON CENTER",
            "address_2": "3400 MINISTRY PKWY",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765213",
            "telephone_number": "715-393-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5412 US Highway 10 E",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544828559",
            "country_code": "US",
            "telephone_number": "715-346-5243",
            "fax_number": "715-346-5419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNDT",
        "first_name": "STEPHANIE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5373",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE APNP LIC",
            "identifier": "5373",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE RN LIC",
            "identifier": "148158",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "Marshfield Clinic Weston Center",
            "address_2": "3400 Ministry Pkwy",
            "city": "Weston",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544765213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MORTENSON",
            "middle_name": "K",
            "prefix": "MS.",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weston, WI

Sources for this page

Verify at the official NPI Registry.