Individual provider Active NPI

Anna Christa Stamas, DO

  • Family Medicine Physician
  • Watertown, WI
National Provider Identifier
1376172007
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8109021 Issued in WI
Practice address
127 Hospital Dr
Watertown, WI 53098-3303
Phone
(920) 261-8500
NPI assigned
Apr 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8109021 WI Primary

Addresses

Primary practice location

127 Hospital Dr
Watertown, WI 53098-3303

Mailing address

127 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 261-8500

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720003681 WI Practitioner - Family Practice 1850712647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Watertown Family Practice Associates, SCGroup PAC ID 4183608037, 10 clinicians

Practice addresses (Care Compare)

127 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 261-8500

Hospital & facility affiliations

  • Watertown Memorial Hospital Hospital, Watertown, WI, CCN 520116
  • Fort Memorial Hospital Hospital, Fort Atkinson, WI, CCN 520071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
8109021WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Watertown Family Practice Associates S.C. Family Medicine CurrentSince Jul 10, 2023 Accepting new patients
Coastal Podiatry, Inc PastSince Apr 1, 2020 Accepting new patients
Evms Academic Physicians and Surgeons Health Services Foundation Family Medicine PastSince Apr 1, 2020 Accepting new patients

Locations

127 Hospital Dr
Watertown, WI 53098
Phone (414) 261-8500

Interoperability endpoints

  • Direct secure messaging: anna.stamas.1@20962.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20962/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1376172007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 HOSPITAL DR",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983303",
            "telephone_number": "920-261-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HOSPITAL DR",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983303",
            "telephone_number": "920-261-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMAS",
        "first_name": "ANNA",
        "middle_name": "CHRISTA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "8109021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, WI

Sources for this page

Verify at the official NPI Registry.