Active NPI
Andrea Marian Stotesbery
- Attendant Care Provider
- Jefferson, WI
National Provider Identifier
1598695207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 120 S Sanborn Ave
Jefferson, WI 53549-1618 - Phone
- (920) 675-1400
- NPI assigned
- May 22, 2026
- Last updated
- May 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | NU | Primary |
Addresses
Primary practice location
120 S Sanborn Ave
Jefferson, WI 53549-1618
Mailing address
206 S Taft Ave
Jefferson, WI 53549-1453
Phone (920) 675-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| School District of Jefferson | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Jefferson, WI
- NPI 1376726299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1598695207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 S TAFT AVE",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535491453",
"telephone_number": "920-675-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S SANBORN AVE",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535491618",
"telephone_number": "920-675-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTESBERY",
"first_name": "ANDREA",
"middle_name": "MARIAN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-22",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson, WI
- St. Coletta of Wisconsin
- St. Coletta of Wisconsin, Inc.
- St. Marys Dean Ventures Inc. (Davis Duehr Dean Jefferson)
- Sarah Emily Stewart, APNP
- Kathryn Marie Stingl, LCPC, CRC
- Kenneth William Strege, PEER SUPPORT
- Sarah Falk Sullivan, MA
- Jamie Jo Tegt, LCSW
- Teipner Treatment Homes, Inc
- Shelly Marie Theder
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.