NPIMap

Individual provider Active NPI

Richard A Staehler, MD

  • Physical Medicine & Rehabilitation Physician
  • Appleton, WI
National Provider Identifier
1629060843
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
37062 Issued in WI
Practice address
5320 Michaels Dr
Appleton, WI 54913-8446
Phone
(920) 882-8200
Fax
(920) 882-8210
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 37062 WI Primary

Addresses

Primary practice location

5320 Michaels Dr
Appleton, WI 54913-8446

Mailing address

5320 Michaels Dr
Appleton, WI 54913-8446
Phone (920) 882-8200

Other identifiers 1

IdentifierTypeStateIssuer
32172500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000687 WI Practitioner - Physical Medicine and Rehabilitation 3577549807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Wisconsin School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurospine Center of Wisconsin, S.C.Group PAC ID 1153217740, 21 clinicians

Practice addresses (Care Compare)

5320 W Michaels Dr
Appleton, WI 54913-8446
Phone (920) 882-8200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.83 of 100Reported as group
Quality
48.15
Promoting interoperability
100
Improvement activities
40
Cost
54.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37062WIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurospine Center of Wisconsin, S.C. CurrentSince Jun 12, 2000 Accepting new patients
Orthopedic and Sports Institute of the Fox Valley S C Past Accepting new patients

Locations

5320 W Michaels Dr
Grand Chute, WI 54913
Phone (920) 735-7650

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

1498 W South Park Ave
Oshkosh, WI 54902
Phone (920) 560-1000

Interoperability endpoints

  • Direct secure messaging: rstaehler21853@direct.thedacare.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EBJABD

Organizations & group practices 2

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1629060843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 MICHAELS DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138446",
            "telephone_number": "920-882-8200",
            "fax_number": "920-882-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 MICHAELS DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138446",
            "telephone_number": "920-882-8200",
            "fax_number": "920-882-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAEHLER",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "37062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32172500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.