Active NPI
April Stern, PHYSICIAN ASSISTANT
- Physician Assistant
- West Bend, WI
National Provider Identifier
1790353241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4917-23
- Practice address
- 525 S Silverbrook Dr
West Bend, WI 53095-3868 - Phone
- (262) 306-3083
- NPI assigned
- Jun 11, 2021
- Last updated
- Jun 11, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4917-23 | WI | Primary |
Addresses
Primary practice location
525 S Silverbrook Dr
West Bend, WI 53095-3868
Mailing address
390 Strawberry Drive
Waldo, WI 53093
Phone (262) 707-7111
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 |
|---|---|---|---|
| 4917-23 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1790353241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 STRAWBERRY DRIVE",
"city": "WALDO",
"state": "WI",
"postal_code": "53093",
"telephone_number": "262-707-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 S SILVERBROOK DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530953868",
"telephone_number": "262-306-3083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "APRIL",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "4917-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.