Individual provider Active NPI

Paul Ward Stevenson, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • West Allis, WI
National Provider Identifier
1386021970
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
80039 Issued in WI
Practice address
8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone
(414) 328-6000
NPI assigned
May 3, 2015
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 17528 ND
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME138203 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 80039 WI Primary
Pulmonary Disease Physician 207RP1001X ME138203 FL

Addresses

Primary practice location

8901 W Lincoln Ave
West Allis, WI 53227-2409

Mailing address

PO Box 840271
Saint Augustine, FL 32080-0271

Other identifiers 3

IdentifierTypeStateIssuer
100206624MedicaidWI
PT17528OtherNDNORTH DAKOTA BOARD OF MEDICINE
ME138203OtherFLFLORIDA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, FL, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210716000841 ND Practitioner - Internal Medicine 4981910528 Reassigns benefits to 1 organization
I20220112001425 FL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4981910528 Reassigns benefits to 2 organizations
I20220803003627 WI Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 4981910528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
University of Florida College of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1836 S Ave
La Crosse, WI 54601

1836 S Ave
La Crosse, WI 54601-5429

3301 W Forest Home Ave
Milwaukee, WI 53215-2843

PO Box
Suite 19070
Green Bay, WI 54307-9070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17528NDMDCritical Care Medicine (Internal Medicine) Physician
80039WIMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Jul 9, 2021 Accepting new patients
St. Alexius Medical Center CurrentSince Jul 9, 2021 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Current Accepting new patients
Appleton Intensivist Group, LLC Critical Care Medicine CurrentSince Dec 6, 2021 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Mar 28, 2023 Accepting new patients
Gundersen Lutheran Medical Center, Inc Critical Care Medicine CurrentSince Aug 19, 2022 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Aug 19, 2022 Accepting new patients
Norman Regional Providers Specialty Care Past Accepting new patients

Locations

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

Interoperability endpoints

  • Direct secure messaging: pstevenson721364@direct.gundersenhealth.org

Organizations & group practices 9

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.

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": "1430611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1386021970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840271",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320800271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272409",
            "telephone_number": "414-328-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "PAUL",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-03",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "ND",
            "license": "17528",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME138203",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "80039",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME138203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100206624",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH DAKOTA BOARD OF MEDICINE",
            "identifier": "PT17528",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME138203",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.