Individual provider Active NPI

Barbara J Stanek Quinn, APNP

  • Nurse Practitioner
  • Baraboo, WI
National Provider Identifier
1487602603
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3908-33 Issued in WI
Practice address
1700 Tuttle St
Baraboo, WI 53913-3319
Phone
(608) 355-3800
Fax
(608) 355-7001
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 77296-030 WI
Nurse Practitioner 363L00000X 3908-33 WI Primary

Addresses

Primary practice location

1700 Tuttle St
Baraboo, WI 53913-3319

Mailing address

1700 Tuttle St
Baraboo, WI 53913-3319
Phone (608) 355-3800

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
I20051222000502 WI Practitioner - Nurse Practitioner 9931121589 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
77296-030WIMDRegistered Nurse
3908-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mile Bluff Medical Center Inc Current Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Mar 1, 2023 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Mar 1, 2023 Accepting new patients
Mile Bluff Medical Center Inc Past Accepting new patients
Mile Bluff Medical Center Inc Past Accepting new patients
Mile Bluff Medical Center Inc Past Accepting new patients

Locations

1515 Academy St
Elroy, WI 53929
Phone (608) 462-8414

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

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

1408 Wheelihan Ave
Necedah, WI 54646
Phone (608) 565-2000

901 W Bridge St
New Lisbon, WI 53950
Phone (608) 562-3111

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1487602603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TUTTLE ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539133319",
            "telephone_number": "608-355-3800",
            "fax_number": "608-355-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TUTTLE ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539133319",
            "telephone_number": "608-355-3800",
            "fax_number": "608-355-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANEK QUINN",
        "first_name": "BARBARA",
        "middle_name": "J",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "77296-030",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3908-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baraboo, WI

Sources for this page

Verify at the official NPI Registry.