Individual provider Active NPI

Natalia Stasior, MD

  • Emergency Medicine Physician
  • Pleasant Prairie, WI
National Provider Identifier
1437538196
Registry record updated Dec 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
68366-20 Issued in WI
Practice address
9555 76TH St
Pleasant Prairie, WI 53158
Phone
(414) 290-6720
Fax
(414) 290-6755
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 125-066836 IL
Emergency Medicine Physician 207P00000X 68366-20 WI Primary

Addresses

Primary practice location

9555 76TH St
Pleasant Prairie, WI 53158

Mailing address

111 E Wisconsin Ave Ste 2000
Milwaukee, WI 53202-4809
Phone (414) 290-6715

Other practice location 1

7435 W Talcott Ave
Resurrection EM Residency
Chicago, IL 60631-3707
Phone (773) 792-7921

Other practice location 2

6308 8th Ave
Kenosha, WI 53143-5031
Phone (414) 290-6720

Other names 1

  • Natalia Stasinska Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nstasior347669@direct.froedtert.com Direct

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
I20180801003490 WI Practitioner - Emergency Medicine 4688978927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile Bluff Medical Center IncGroup PAC ID 8527971399, 87 clinicians

Practice addresses (Care Compare)

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-066836ILMDEmergency Medicine Physician
68366-20WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mile Bluff Medical Center Inc CurrentSince Sep 1, 2022 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Sep 1, 2022 Accepting new patients
Vituity-Wisconsin Em SC Emergency Medicine CurrentSince Aug 15, 2023 Accepting new patients
Mile Bluff Medical Center Inc Emergency Medicine Current Accepting new patients
Vituity-Wisconsin Em SC Emergency Medicine CurrentSince Aug 15, 2023 Accepting new patients
Ihc-Libertyville Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

Interoperability endpoints

  • Direct secure messaging: natalia.stasior@direct.milebluff.com

Organizations & group practices 6

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 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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1437538196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WISCONSIN AVE STE 2000",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024809",
            "telephone_number": "414-290-6715",
            "fax_number": "414-290-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 76TH ST",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "53158",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7435 W Talcott Ave",
            "address_2": "Resurrection EM Residency",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606313707",
            "country_code": "US",
            "telephone_number": "773-792-7921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6308 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531435031",
            "country_code": "US",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STASIOR",
        "first_name": "NATALIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125-066836",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "68366-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nstasior347669@direct.froedtert.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "6308 8th Ave",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531435031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NATALIA",
            "last_name": "STASINSKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasant Prairie, WI

Sources for this page

Verify at the official NPI Registry.