Stacee Lynn Goedtel Birr, DO
Individual provider Active NPI Family Medicine Physician · Appleton, WI
NPI 1295152189 · NPPES record last updated Jun 30, 2017
Key facts
- NPI
- 1295152189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 65320-21 (WI)
- Practice address
- 229 S Morrison St
Appleton, WI 54911-5725 - Phone
- (920) 832-2783
- Fax
- (920) 832-2635
- NPI assigned
- Mar 28, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 16
Owned or controlled facilities with NPI records 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Clare Memorial Hospital, Inc
St Vincent Hospital-Hospital Sisters-Third Order of St Francis
Practice addresses (Care Compare)
835 S Main St
Oconto Falls, WI 54154-1282
853 S Main St
Oconto Falls, WI 54154-1203
Phone (920) 496-4700
Hospital & facility affiliations
- HSHS Home Care Wisconsin
- Bristol Hospice Green Bay
- Unity Hospice
- Moments Hospice of Green Bay
- HSHS St Clare Memorial Hospital
- St Marys Hospital Medical Ctr
- St Vincent Hospital
- Suring Health and Rehab Center
- Meadowbrook at Oconto Falls
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| HSHS St. Clare Memorial Hospital |
Hospital | Corporate Director | Nov 1, 2023 |
| HSHS St Clare Memorial Hospital |
Hospital | Corporate Director | Nov 1, 2023 |
| Meadowbrook at Oconto Falls |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 22, 2016 Mar 22, 2016 |
| HSHS St. Clare Memorial Hospital |
Rural health clinic | Corporate Director | Nov 1, 2023 |
| HSHS St. Clare Memorial Hospital |
Rural health clinic | Corporate Director | Nov 1, 2023 |
| HSHS St. Clare Memorial Hospital |
Rural health clinic | Corporate Director | Nov 1, 2023 |
| HSHS St. Clare Memorial Hospital |
Rural health clinic | Corporate Director | Nov 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171017002770 | WI | Practitioner - Family Practice | 9830465939 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65320-21 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prevea Clinic, Inc. | Family Medicine | Current | Accepting new patients |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current |
Accepting new patients | |
| St. Clare Memorial Hospital, Inc | Current |
Accepting new patients | |
| Prevea Clinic, Inc. | Family Medicine | Current |
Accepting new patients |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Family Medicine | Current |
Accepting new patients |
| St Clare Memorial Hospital, Inc | Current |
Accepting new patients | |
| St Clare Memorial Hospital, Inc | Family Medicine | Past | Accepting new patients |
| St Clare Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
853 S Main St
Oconto Falls, WI 54154
Phone (920) 848-6346
835 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-4864
855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187
835 S Main St
Oconto Falls, WI 54154
Phone (920) 846-0509
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 65320-21 | WI | Yes |
Addresses
Primary practice location
229 S Morrison St
Appleton, WI 54911-5725
Mailing address
853 S Main St
Oconto Falls, WI 54154
Phone (920) 496-4700
Other names
- Dr. Stacee Lynn Goedtel
Other providers in Appleton, WI
- Mallory L. Gloudemans
- Jessica G Gocht
- Jordan Goddard
- Nichole L Godin
- Kelly Ledoux Godwin
- Samantha P Goeller
- Randal L Goethke
- Branden Goetsch
- Laura Anne Goggins
- Gold Kite LLC
All providers in Appleton, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.