Christina Marie Stallard, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

15619 Issued in WI

Practice address

5250 S 108TH St Ste 150
Hales Corners, WI 53130-0017

Phone

(414) 400-9375

NPI assigned

Jul 18, 2024

Last updated

May 28, 2026By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Acs Wounds LLCGroup PAC ID 0547626228, 5 clinicians

BSH, SCGroup PAC ID 4082996954, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Acs Wounds LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Mount Pleasant, WI
  • NPI 1609576750
  Medicare reassignment Care Compare group NPD
• BSH, SC

  dba Advanced Care Specialists

  • Family Medicine Physician
  • Mount Pleasant, WI
  • NPI 1467811331
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1508604943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 S 108TH ST STE 150",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531300017",
            "telephone_number": "414-400-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 S 108TH ST STE 150",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531300017",
            "telephone_number": "414-400-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLARD",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "15619",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "15619-33",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100289785",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann K Sherren, BA, SAC-IT
• Shoptikal LLC (Shopko Optical 4244)
• Jon J. Sisulak, D.D.S.,M.S
• Marianne Faith Skrobiak, LPC
• Sports Medicine & Orthopedic Center, S.C.
• Ann Elizabeth Stanton, APNP, RN
• Raquel Lynn Starke
• Mary Beth Steffens, CADC II
• Ashley Sticha Neis
• Heidi Stuckey, LPC

• Nurse Practitioner in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.