Active NPI
Susan M. Stolz, PA
- Physician Assistant
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1538
- Practice address
- 1211 Fish Hatchery Rd
Madison, WI 53715-1909 - Phone
- (608) 252-8000
- Fax
- (608) 410-2905
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1538 | WI | |
| Physician Assistant | 363A00000X | 1538 | WI | Primary |
Addresses
Primary practice location
1211 Fish Hatchery Rd
Madison, WI 53715-1909
Mailing address
1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone (608) 252-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598711467 | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Tower Dr
Sun Prairie, WI 53590-1239
Phone (608) 825-3500
1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone (608) 252-8000
1305 W Main St
Whitewater, WI 53190-1503
Phone (262) 473-4548
1515 Park Ave
Columbus, WI 53925-1618
Phone (920) 623-2200
1626 Tuttle St
Baraboo, WI 53913-1501
Phone (608) 355-2033
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6000
225 Church St
Stoughton, WI 53589-1801
Phone (608) 877-2777
2840 Okeeffe Ave
Sun Prairie, WI 53590-7077
Phone (608) 229-8484
2850 Okeeffe Ave
Sun Prairie, WI 53590-7077
Phone (608) 282-2000
515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000
700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100
740 Reena Ave
Fort Atkinson, WI 53538-3145
Phone (920) 563-0888
752 N High Point Rd
Madison, WI 53717-2236
Phone (608) 824-4000
753 N Main St
Oregon, WI 53575-1003
Phone (608) 835-2222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1538 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
1211 Fish Hatchery Rd
Madison, WI 53715
Phone (608) 252-8000
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Interoperability endpoints
- sstolz433200@direct-ehr-ssmhc.com
Organizations & group practices 5
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.
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Atkinson, WI
- NPI 1811916281
-
- General Acute Care Hospital
- Madison, WI
- NPI 1184621211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1598711467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 FISH HATCHERY RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537151909",
"telephone_number": "608-252-8000",
"fax_number": "608-410-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 FISH HATCHERY RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537151909",
"telephone_number": "608-252-8000",
"fax_number": "608-410-2905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLZ",
"first_name": "SUSAN",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WI",
"license": "1538",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598711467",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.