Elizabeth R Stukenberg, DNP, APNP, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

6542-33 Issued in WI

Practice address

1201 Main St
Oconto, WI 54153-1541

Phone

(800) 242-7334

NPI assigned

Nov 20, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Baycare Clinic LLP

  • Emergency Medicine Physician
  • Green Bay, WI
  • NPI 1588609648

  WI

  Medicare reassignment NPD
• Newcap, Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Oconto, WI
  • NPI 1487772836

  Nurse Practitioner, WI

  Medicare reassignment NPD
• Baycare Clinic LLP

  • Durable Medical Equipment & Medical Supplies
  • Manitowoc, WI
  • NPI 1134490758
  NPD
• Newcap, Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Marinette, WI
  • NPI 1326166794

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1326293176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MAIN ST",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541531541",
            "telephone_number": "800-242-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MAIN ST",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541531541",
            "telephone_number": "800-242-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUKENBERG",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "name_prefix": "Miss",
        "credential": "DNP, APNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "171349-30",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6542 - 33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "6542-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua M Simpson, DMD
• Marissa Spatz
• St Clare Memorial Hospital, Inc
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis
• The Lakes Community Health Center, Inc
• Coral A Thomson, DPT
• Amber M Trepanier, RDH
• Tim Van Der Perren
• Rebecca M. Vissers, APNP

• All providers in Oconto, WI
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.

Verify at the official NPI Registry.