Active NPI
Stephanie K Mundt, APNP
- Family Nurse Practitioner
- Weston, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5373
- 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, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5373 | Other | WI | WI STATE APNP LIC |
| 148158 | Other | WI | WI STATE RN LIC |
Other names 1
- Ms. Stephanie K Mortenson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5373 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | 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
- him@marshfieldclinichealthsystem.cernerdirect.com
- 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.
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
dba MMC - Park Falls Outreach Services
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
dba Marshfield Medical Center - Park Falls
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Marshfield Medical Center - Neillsville
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
dba Aspirus Behavioral Health Clinic - Stevens Point - Prentice St
- Clinic/Center
- Stevens Point, WI
- NPI 1679706022
-
dba Hillside Unit Pharmacy (DME)
- Pharmacy
- Beaver Dam, WI
- NPI 1295771780
-
dba Marshfield Medical Center - Eau Claire Cancer Center
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
dba Marshfield Medical Center - Minocqua Professional Services
- Clinic/Center
- Minocqua, WI
- NPI 1942854716
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.