Individual provider Active NPI

Staci Marie Sova, APNP

  • Family Nurse Practitioner
  • Stevens Point, WI
National Provider Identifier
1740647627
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6788-33 Issued in WI
Practice address
3125 Main St
Stevens Point, WI 54481-3269
Phone
(800) 942-5330
NPI assigned
Jan 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6788-33 WI Primary

Addresses

Primary practice location

3125 Main St
Stevens Point, WI 54481-3269

Mailing address

3125 Main St
Stevens Point, WI 54481-3269
Phone (800) 942-5330

Other practice location 1

302 W lake street
friendship, WI 53934
Phone (800) 942-5330

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
I20160229000911 WI Practitioner - Nurse Practitioner 7416252424 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile Bluff Medical Center IncGroup PAC ID 8527971399, 87 clinicians
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians

Practice addresses (Care Compare)

1040 Division St
Mauston, WI 53948-1931
Phone (608) 847-1852

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161

400 S Townline Rd
Wautoma, WI 54982-6922
Phone (920) 787-5514

824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 344-1600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6788-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medical Group, Inc. CurrentSince Jan 27, 2016 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Jan 1, 2023 Accepting new patients
La Clinica de Los Campesinos, Inc CurrentSince Feb 13, 2023 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 27, 2016 Accepting new patients
La Clinica de Los Campesinos, Inc Family CurrentSince Feb 13, 2023 Accepting new patients
Mile Bluff Medical Center Inc Current Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Jan 1, 2023 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1515 Academy St
Elroy, WI 53929
Phone (608) 462-8414

302 W Lake St
Friendship, WI 53934
Phone (608) 339-3326

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

143 S Gibson St
Medford, WI 54451
Phone (715) 748-2121

1408 Wheelihan Ave
Necedah, WI 54646
Phone (608) 565-2000

901 W Bridge St
New Lisbon, WI 53950
Phone (608) 562-3111

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

2501 Main St
Stevens Point, WI 54481
Phone (715) 254-9072

3125 Main St
Stevens Point, WI 54481
Phone (715) 254-9072

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

2720 Plaza Dr
Ste 1400A
Wausau, WI 54401
Phone (715) 847-0426

400 S Townline Rd
Wautoma, WI 54982
Phone (920) 647-8984

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

2031 Peach St
Wisconsin Rapids, WI 54494
Phone (715) 423-0122

Interoperability endpoints

  • Direct secure messaging: ssova619074@direct.ochin.org

Organizations & group practices 9

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1740647627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 MAIN ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544813269",
            "telephone_number": "800-942-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 MAIN ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544813269",
            "telephone_number": "800-942-5330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 W lake street",
            "address_purpose": "LOCATION",
            "city": "friendship",
            "state": "WI",
            "postal_code": "53934",
            "country_code": "US",
            "telephone_number": "800-942-5330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOVA",
        "first_name": "STACI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6788-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.