Stephanie Allen
Individual provider Active NPI Family Medicine Physician · Menomonee Falls, WI
NPI 1386224764 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1386224764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 81470 (WI)
- Practice address
- W180N8000 Town Hall Rd
Menomonee Falls, WI 53051-4002 - Phone
- (262) 532-3265
- NPI assigned
- Apr 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Virginia Commonwealth University, School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prohealth Medical Group Inc
Practice addresses (Care Compare)
13900 W National Ave
New Berlin, WI 53151-9515
Phone (262) 928-4500
Hospital & facility affiliations
- Prohealth Home Care
- Waukesha Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240819001106 | WI | Practitioner - Family Practice | 0446798755 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc. | Family Medicine | Current |
Accepting new patients |
| Prohealth Medical Group Inc | Family Medicine | Past | Accepting new patients |
Locations
13900 W National Ave
New Berlin, WI 53151
Phone (262) 928-4500
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030
Interoperability endpoints
- sallen170859@direct.phci.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 81470 | WI | Yes |
Addresses
Primary practice location
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051-4002
Mailing address
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051-4002
Phone (262) 532-3265
Other providers in Menomonee Falls, WI
- Mahmood Al-Wathiqui
- Nicole Albright
- Karin Alexander
- Lisa Marie Alishouse
- Michelle Marie Allbaugh
- Allied Mental Health Rehabilitation Clinics
- Daniel A Allison
- James Allan Altschafl
- Anne F Amani
- American Transit Team LLC
All providers in Menomonee Falls, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.