Individual provider Active NPI

Stephen David Moerschel, APNP

  • Primary Care Nurse Practitioner
  • Glendale, WI
National Provider Identifier
1760120505
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11978-33 Issued in WI
Practice address
301 W Coventry CT
Suite 306
Glendale, WI 53217-3959
Phone
(970) 722-8243
Fax
(414) 307-7778
NPI assigned
May 23, 2022
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11978-33 WI Primary

Addresses

Primary practice location

301 W Coventry CT
Suite 306
Glendale, WI 53217-3959

Mailing address

301 W Coventry CT
Suite 306
Glendale, WI 53217-3959
Phone (970) 722-8243

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

LicenseStateTypeSpecialty
11978-33WIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sabuche Health CurrentSince Aug 1, 2025 Accepting new patients

Organizations & group practices 1

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": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1760120505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W COVENTRY CT",
            "address_2": "SUITE 306",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173959",
            "telephone_number": "970-722-8243",
            "fax_number": "414-307-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W COVENTRY CT",
            "address_2": "SUITE 306",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173959",
            "telephone_number": "970-722-8243",
            "fax_number": "414-307-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOERSCHEL",
        "first_name": "STEPHEN",
        "middle_name": "DAVID",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-23",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "11978-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.