Active NPI
Ann Elizabeth Stanger, MD
- General Practice Physician
- Fitchburg, WI
National Provider Identifier
1154491298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 31332
- Practice address
- 2984 Triverton Pike Dr
Fitchburg, WI 53711-5841 - Phone
- (608) 233-2378
- Fax
- (608) 233-2375
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 31332 | WI | Primary |
Addresses
Primary practice location
2984 Triverton Pike Dr
Fitchburg, WI 53711-5841
Mailing address
2984 Triverton Pike Dr
Fitchburg, WI 53711-5841
Phone (608) 233-2378
Other names 1
- Ann Elizabeth Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 21, 2016 through Nov 21, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31332 | WI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1154491298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2984 TRIVERTON PIKE DR",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115841",
"telephone_number": "608-233-2378",
"fax_number": "608-233-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2984 TRIVERTON PIKE DR",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115841",
"telephone_number": "608-233-2378",
"fax_number": "608-233-2375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANGER",
"first_name": "ANN",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WI",
"license": "31332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "JOHNSON",
"middle_name": "ELIZABETH",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fitchburg, WI
- SSM Health Care of Wisconsin Inc
- SSM Health Care of Wisconsin,Inc
- Stacy L Knoll Dba Mindy'S Place
- Bret Stalcup, LMFT, MS
- Tammy Stanek, C.P.D.A.
- Edith Quiles Stangl, MOT, OTR/L
- Alexander Stanley, PTA
- Evan Steiger
- Stellar Rehabilitation, LLC-Sylvan Crossings Chapel Valley
- Stellar Rehabilitation, LLC-Sylvan Crossings Fitchburg
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.