Stacy L Simenz, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

136594-030 Issued in WI

Practice address

2266 N Prospect Ave
Suite 304
Milwaukee, WI 53202-6319

Phone

(414) 220-9990

Fax

(414) 221-0001

NPI assigned

Jan 13, 2010

Last updated

Jan 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Behavioral Solutions IncGroup PAC ID 8820983760, 8 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Solutions, Inc.

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1174633119
  Medicare reassignment Care Compare group NPD
• Mark Eberhage, PHD LLC

  • Clinical Psychologist
  • Milwaukee, WI
  • NPI 1992650378
  NPD (past)

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1336479393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11947",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532110947",
            "telephone_number": "414-220-9990",
            "fax_number": "414-221-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 N PROSPECT AVE",
            "address_2": "SUITE 304",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026319",
            "telephone_number": "414-220-9990",
            "fax_number": "414-221-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMENZ",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "136594-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elaine Silverman
• Roy L Silverstein, M.D.
• Scott C Simandl, APNP
• John P Simanonok, MD
• Deanna Simcakoski-Carleton, APNP
• Ceanne J Simmelink, PHARMD
• Barbara S. Simmons, SOCIAL WORKER (BSW)
• Bryan J Simmons, MD
• Camina Simmons
• Iyana Simmons

• Adult Health Nurse Practitioner in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adult Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.