Individual provider Active NPI

Judith Ann Stanley, APNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rice Lake, WI
National Provider Identifier
1093484412
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11475-33 Issued in WI
Practice address
1215 West Knapp St
Rice Lake, WI 54868
Phone
(715) 236-4450
Fax
(715) 236-1831
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 2021051348 WI
Nurse Practitioner 363L00000X 11475 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11475-33 WI Primary

Addresses

Primary practice location

1215 West Knapp St
Rice Lake, WI 54868

Mailing address

1215 West Knapp St
Rice Lake, WI 54868
Phone (715) 236-4450

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
I20211209001089 WI Practitioner - Nurse Practitioner 8224428065 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeview Medical Center Inc of Rice LakeGroup PAC ID 6103737820, 168 clinicians

Practice addresses (Care Compare)

1700 W Stout St
Rice Lake, WI 54868-5000
Phone (715) 236-6133

Hospital & facility affiliations

  • Marshfield Medical Center - Rice Lake Hospital, Rice Lake, WI, CCN 520011

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021051348WIMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
11475WIMDNurse Practitioner
11475-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flambeau Hospital Inc CurrentSince Apr 3, 2022 Accepting new patients
Flambeau Hospital Inc CurrentSince Apr 3, 2022 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 3, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 3, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince Jan 3, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Memorial Hospital Inc CurrentSince Apr 3, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 3, 2022 Accepting new patients

Locations

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

1215 W Knapp St
Rice Lake, WI 54868
Phone (715) 234-1564

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

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: judith.stanley@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 8

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 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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1093484412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 WEST KNAPP ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "54868",
            "telephone_number": "715-236-4450",
            "fax_number": "715-236-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 WEST KNAPP ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "54868",
            "telephone_number": "715-236-4450",
            "fax_number": "715-236-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "credential": "APNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "WI",
            "license": "2021051348",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "11475",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "11475-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1215 West Knapp St",
            "city": "Rice Lake",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

Verify at the official NPI Registry.