Active NPI
Teresa Anne Sanford, DNP, CNP
- Family Nurse Practitioner
- Waukesha, WI
National Provider Identifier
1356320055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4689-33
- Practice address
- N20W22961 Watertown Rd
Waukesha, WI 53186-1306 - Phone
- (262) 875-5070
- Fax
- (866) 384-9486
- NPI assigned
- Jan 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R1515154 | MN | |
| Family Nurse Practitioner | 363LF0000X | 4689-33 | WI | Primary |
Addresses
Primary practice location
N20W22961 Watertown Rd
Waukesha, WI 53186-1306
Mailing address
403 Stageline Rd
Suite 250
Hudson, WI 54016-7848
Phone (651) 772-6251
Other practice location 1
403 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899771045344 | Other | MN | PREFERRED ONE |
| 482426100 | Medicaid | MN | |
| 135413 | Other | MN | UCARE |
| 1356320055 | Other | MN | MEDICA |
Other names 1
- Teresa A Stankowski
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Arizona College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 Kepler Dr
Green Bay, WI 54311-8321
Phone (920) 304-9695
Hospital & facility affiliations
- Aspirus Wausau Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1515154 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Medical SC | Current | Accepting new patients | |
| Maple Medical SC | Current | Accepting new patients | |
| Midwest Radiology, PA | Past | Accepting new patients | |
| St Paul Internal Medicine | Past | Accepting new patients |
Locations
1110 Kepler Dr
Green Bay, WI 54311
Phone (920) 288-4712
N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070
Interoperability endpoints
- teresa.sanford@337248305217540.direct.elationemr.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Waukesha, WI
- NPI 1669910345
-
- Physical Medicine & Rehabilitation Physician
- Waukesha, WI
- NPI 1487152104
-
- Diagnostic Radiology Physician
- Roseville, MN
- NPI 1952307175
-
- Internal Medicine Physician
- St Paul, MN
- NPI 1174617146
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1558363986
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1598375271
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1902923170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1356320055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 STAGELINE RD",
"address_2": "SUITE 250",
"city": "HUDSON",
"state": "WI",
"postal_code": "540167848",
"telephone_number": "651-772-6251",
"fax_number": "651-224-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N20W22961 WATERTOWN RD",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861306",
"telephone_number": "262-875-5070",
"fax_number": "866-384-9486"
}
],
"practiceLocations": [
{
"address_1": "403 Stageline Rd",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "WI",
"postal_code": "540167848",
"country_code": "US",
"telephone_number": "715-531-6800",
"fax_number": "715-531-6801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANFORD",
"first_name": "TERESA",
"middle_name": "ANNE",
"credential": "DNP, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R1515154",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "4689-33",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "899771045344",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "482426100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "135413",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1356320055",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "STANKOWSKI",
"middle_name": "A",
"credential": "RN CNP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.