Individual provider Active NPI

Stacey L. Markuson, FNP

  • Family Nurse Practitioner
  • Cashton, WI
National Provider Identifier
1417106048
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3500-033 Issued in WI
Practice address
238 Front Street
Scenic Bluffs Health Center
Cashton, WI 54619
Phone
(608) 654-5100
Fax
(608) 654-5120
NPI assigned
Sep 18, 2008
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3500 WI
Family Nurse Practitioner 363LF0000X 3500-033 WI Primary

Addresses

Primary practice location

238 Front Street
Scenic Bluffs Health Center
Cashton, WI 54619

Mailing address

P.O. Box 39
238 Front Street Scenic Bluffs Health Center
Cashton, WI 54619
Phone (608) 654-5100

Other practice location 1

200 W North St
Norwalk, WI 54648-8287
Phone (086) 545-1006

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100116000195 WI Practitioner - Nurse Practitioner 7315089133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scenic Bluffs Health Center IncGroup PAC ID 8325098296, 19 clinicians

Practice addresses (Care Compare)

238 Front St
Cashton, WI 54619-2002
Phone (608) 654-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3500-033WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scenic Bluffs Health Center, Inc. CurrentSince Sep 2, 2009 Accepting new patients
Scenic Bluffs Health Center, Inc CurrentSince Sep 2, 2009 Accepting new patients

Locations

200 W North St
Norwalk, WI 54648
Phone 6086545100 ext. 226

Interoperability endpoints

  • Direct secure messaging: stacey.markuson@sbchc1.eclinicaldirectplus.com

Organizations & group practices 2

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 2

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1417106048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 39",
            "address_2": "238 FRONT STREET SCENIC BLUFFS HEALTH CENTER",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "54619",
            "telephone_number": "608-654-5100",
            "fax_number": "608-654-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 FRONT STREET",
            "address_2": "SCENIC BLUFFS HEALTH CENTER",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "54619",
            "telephone_number": "608-654-5100",
            "fax_number": "608-654-5120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W North St",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "WI",
            "postal_code": "546488287",
            "country_code": "US",
            "telephone_number": "086-545-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKUSON",
        "first_name": "STACEY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3500",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3500-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cashton, WI

Sources for this page

Verify at the official NPI Registry.