Stacey J Hittman, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3643-33 Issued in WI

Practice address

1700 Sand Acres Dr Ste 2a
De Pere, WI 54115-7562

Phone

(920) 373-8086

NPI assigned

Nov 25, 2008

Last updated

Jun 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Stacey M Hittman, Schmidt-Pristelski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Energize Health and Wellness

  • Family Medicine Physician
  • De Pere, WI
  • NPI 1346892957
  Authorized official Same address or phone
• Bellin Memorial Hospital Inc

  dba Bellin Health Heart and Vascular Oconto

  • Cardiovascular Disease Physician
  • Oconto, WI
  • NPI 1699926964
  NPD (past)

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1487809943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SAND ACRES DR STE 2A",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541157562",
            "telephone_number": "920-819-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SAND ACRES DR STE 2A",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541157562",
            "telephone_number": "920-373-8086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 ELY ST",
            "address_2": "BELLIN EMPLOYER CLINIC MARINETTE MARINE",
            "address_purpose": "LOCATION",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "54143",
            "country_code": "US",
            "telephone_number": "715-732-1649",
            "fax_number": "715-732-1649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1326 Buckys Run",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543137500",
            "country_code": "US",
            "telephone_number": "920-373-8086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HITTMAN",
        "first_name": "STACEY",
        "middle_name": "J",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6235",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3643-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "HITTMAN, SCHMIDT-PRISTELSKI",
            "middle_name": "M",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenny M Hickey, MA, LPC
• Hill-Rom Company Inc
• Michelle Marie Hill, M.D.
• Laura Jean Hillesheim, LPC
• Nicole L Hiltunen, RPH
• Hockers Plumbing Inc
• Michael J Hodulik, M.D.
• Kaitlin Hogue
• Cassandra Lee Holmquist, APSW
• Kerry Michelle Hoops, MA, BCBA

• Family Nurse Practitioner in De Pere, WI
• Providers in De Pere, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.