Individual provider Active NPI

Kari M Stockheimer, APNP

  • Family Nurse Practitioner
  • Watertown, MA
National Provider Identifier
1609435692
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9453-33 Issued in WI
Practice address
260 Arsenal PL
Watertown, MA 02472-3171
Phone
(888) 897-1887
Fax
(857) 414-1143
NPI assigned
Jun 12, 2019
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X C-RXN.0101517-C-NP CO
Family Nurse Practitioner 363LF0000X 11997 MN
Family Nurse Practitioner 363LF0000X 4704384425 MI
Family Nurse Practitioner 363LF0000X 53-85450-112 KS
Family Nurse Practitioner 363LF0000X 313454 AZ
Family Nurse Practitioner 363LF0000X 0024193859 VA
Family Nurse Practitioner 363LF0000X 201837 ND
Family Nurse Practitioner 363LF0000X 91395 NM
Family Nurse Practitioner 363LF0000X 500328700 DC
Family Nurse Practitioner 363LF0000X 356245 NY
Family Nurse Practitioner 363LF0000X 1481631 ID
Family Nurse Practitioner 363LF0000X 1192826 TX
Family Nurse Practitioner 363LF0000X 9453-33 WI Primary
Family Nurse Practitioner 363LF0000X 11044409 FL
Family Nurse Practitioner 363LF0000X 95029500 CA

Addresses

Primary practice location

260 Arsenal PL
Watertown, MA 02472-3171

Mailing address

260 Arsenal PL
Watertown, MA 02472-3171
Phone (888) 897-1887

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191031000067 WI Order and Referring Only - Nurse Practitioner 7214269869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9453WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. Nurse Practitioner CurrentSince Jul 27, 2025 Accepting new patients
Eligere Health, LLC Current Accepting new patients
Horizon Home Care & Hospice PastSince Jan 31, 2021 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

11002 W Park Pl
Milwaukee, WI 53224
Phone (414) 365-8300

Interoperability endpoints

  • Direct secure messaging: kari.stockheimer.1@30093.direct.athenahealth.com
  • Direct secure messaging: kari.stockheimer@237407481626628.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1609435692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 ARSENAL PL",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723171",
            "telephone_number": "888-897-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 ARSENAL PL",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723171",
            "telephone_number": "888-897-1887",
            "fax_number": "857-414-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKHEIMER",
        "first_name": "KARI",
        "middle_name": "M",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-RXN.0101517-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "11997",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704384425",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-85450-112",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "313454",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024193859",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "201837",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "91395",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "500328700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "356245",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "1481631",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1192826",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9453-33",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11044409",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

Verify at the official NPI Registry.