Active NPI
Stefanie Rebholz
- School Registered Nurse
- Oshkosh, WI
National Provider Identifier
1710817242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 107779-30
- Practice address
- 375 N Eagle St
Oshkosh, WI 54902-4224 - Phone
- (920) 424-4090
- NPI assigned
- May 19, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 107779-30 | WI | Primary |
Addresses
Primary practice location
375 N Eagle St
Oshkosh, WI 54902-4224
Mailing address
215 S Eagle St
Oshkosh, WI 54902-5624
Other practice location 1
325 S Eagle St
Oshkosh, WI 54902-5626
Phone (920) 424-4090 ext. 3034
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107779-30 | WI | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1710817242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S EAGLE ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549025624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 N EAGLE ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549024224",
"telephone_number": "920-424-4090"
}
],
"practiceLocations": [
{
"address_1": "325 S Eagle St",
"address_purpose": "LOCATION",
"city": "Oshkosh",
"state": "WI",
"postal_code": "549025626",
"country_code": "US",
"telephone_number": "920-424-4090 x3034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REBHOLZ",
"first_name": "STEFANIE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-05-19",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WI",
"license": "107779-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.