NPIMap

Individual provider Active NPI

Stacy Lynn Winter, PAC

  • Medical Physician Assistant
  • Minocqua, WI
National Provider Identifier
1104866763
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
917 Issued in WI
Practice address
9576 Highway 70
Minocqua, WI 54548-9067
Phone
(715) 358-1000
Fax
(715) 358-1156
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 917 WI Primary

Addresses

Primary practice location

9576 Highway 70
Minocqua, WI 54548-9067

Mailing address

9576 Highway 70
Minocqua, WI 54548-9067
Phone (715) 358-1000

Other identifiers 1

IdentifierTypeStateIssuer
42965500MedicaidWI

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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051103000555 WI Practitioner - Physician Assistant 9739107277 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians
Nova Integrated Care LLCGroup PAC ID 2860837291, 3 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

302 W Pine St
Suite 2
Eagle River, WI 54521-9349
Phone (715) 891-0088

9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1710

Hospital & facility affiliations

  • Marshfield Medical Center - Minocqua Hospital, Minocqua, WI, CCN 520212
  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019
  • Howard Young Medical Center Hospital, Woodruff, WI, CCN 520091

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Eagle River Hospital, Inc. CurrentSince Jun 7, 2018 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. CurrentSince Jun 7, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Dec 22, 2021 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Jun 7, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Dec 22, 2021 Accepting new patients
Marshfield Clinic Inc CurrentSince Jun 26, 2017 Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1711 York St
Bloomer, WI 54724
Phone (715) 568-6200

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

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

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

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

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

9601 Townline Rd
Minocqua, WI 54548
Phone (715) 358-1000

9576 State Highway 70
Minocqua, WI 54548
Phone (715) 358-1000

50 Sherry Ave
Park Falls, WI 54552
Phone (715) 762-3212

104 Trinity Dr
Phillips, WI 54555
Phone (715) 339-2101

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: stacy.winter@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 10

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1104866763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9576 HIGHWAY 70",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489067",
            "telephone_number": "715-358-1000",
            "fax_number": "715-358-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9576 HIGHWAY 70",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489067",
            "telephone_number": "715-358-1000",
            "fax_number": "715-358-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42965500",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "9576 Highway 70",
            "city": "Minocqua",
            "state": "WI",
            "country_code": "US",
            "postal_code": "545489067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minocqua, WI

Sources for this page

Verify at the official NPI Registry.