Mary Gwen Steffen, A.P.N.P.

Primary specialty

College Health Registered NurseTaxonomy code 163WC1400X

License

74614-030 Issued in WI

Practice address

777 Algoma Blvd
Oshkosh, WI 54901-3534

Phone

(920) 424-2424

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• University of Wisconsin System Non Payroll

  • Clinic/Center
  • Oshkosh, WI
  • NPI 1134105505
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497774830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 REDMAN DR",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549711268",
            "telephone_number": "920-748-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ALGOMA BLVD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549013534",
            "telephone_number": "920-424-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFFEN",
        "first_name": "MARY",
        "middle_name": "GWEN",
        "credential": "A.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "WI",
            "license": "74614-030",
            "primary": true
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "WI",
            "license": "907-033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43994300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Srnka, LCSW
• Karolina Stack, M.D.
• Ruth Staszak, APNP
• Pang Dlib Steckbauer, PMHNP-BC
• Wyn Steckbauer, D.M.D.
• Katie Stegeman
• Tammy Steier, LCSW
• John D Steiner, MD
• Stellar Vision Inc
• Tanya Stenz

• College Health Registered Nurse in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• College Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.