Mary Ellen Stolder, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

803-033 Issued in WI

Practice address

1526 Rose Street
La Crosse, WI 54603

Phone

(608) 781-9880

Fax

(608) 783-5426

NPI assigned

Feb 27, 2025

Last updated

Feb 27, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Breidenbach Family and Sports Chiropractic Inc

  • Chiropractor
  • La Crosse, WI
  • NPI 1003987652
  NPD

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1386441152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 ROSE STREET",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54603",
            "telephone_number": "608-781-9880",
            "fax_number": "608-783-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 ROSE STREET",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54603",
            "telephone_number": "608-781-9880",
            "fax_number": "608-783-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLDER",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "803-033",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "803-033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary A Stockus, RD
• Alexander Jeffrey Stoeberl, PT, DPT
• Jessica Stoeffler
• Shawn Allen Stoffregen, O.D.
• Nadarra Lois Earline Stokes, MD
• Jeanne Stolp-Thorson, M.S., L.M.F.T.
• Carlie Anne Stone, REGISTERED NURSE
• Mary Stone, PA
• Sarah Elizabeth Stoner, PA-C
• Brandon Stoos, PHARMD

• Adult Health Nurse Practitioner in La Crosse, WI
• Providers in La Crosse, 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 Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.