Jessica Mary Stoiber, AGACNP-BC
Individual provider Active NPI Primary Care Nurse Practitioner · Spring Valley, WI
NPI 1487417879 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1487417879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 2023189444 (WI)
- Practice address
- W4401 State Road 29
Spring Valley, WI 54767-8311 - Phone
- (715) 317-1185
- NPI assigned
- Jan 30, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240529001887 | WI | Practitioner - Nurse Practitioner | 7012359540 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023189444 | WI | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Medical Plus | Current |
Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
250 E Wisconsin Ave
Fl 18
Milwaukee, WI 53202
Phone (303) 748-5781
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FJFADD/Endpoint/FJFADD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Primary Care Nurse Practitioner | 363LP2300X | 2023189444 | WI | Yes |
Addresses
Primary practice location
W4401 State Road 29
Spring Valley, WI 54767-8311
Mailing address
W4401 State Road 29
Spring Valley, WI 54767-8311
Phone (715) 317-1185
Other providers in Spring Valley, WI
- Spring Valley Area Emergency Services Corporation Spring Valley Fire D
- Spring Valley Dentistry Inc.
- Spring Valley Drug, Inc
- Spring Valley Health Care Services, Inc.
- Spring Valley Health Care Services, Inc.
- Valley Villas, LLC
- Village of Spring Valley
All providers in Spring Valley, WI · Primary Care Nurse Practitioner 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 11, 2026. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.