Individual provider Active NPI

Annette Stokes, M.D.

  • Family Medicine Physician
  • Menomonee Falls, WI
National Provider Identifier
1801956214
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37170 020 Issued in WI
Practice address
N79W14756 Appleton Ave
Menomonee Falls, WI 53051-4383
Phone
(414) 874-5000
Fax
(414) 874-5012
NPI assigned
Dec 8, 2006
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37170 020 WI Primary

Addresses

Primary practice location

N79W14756 Appleton Ave
Menomonee Falls, WI 53051-4383

Mailing address

5050 W Brown Deer Rd
Brown Deer, WI 53223-2424
Phone (414) 874-5000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100208000462 WI Practitioner - Family Practice 5890838395 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37170 020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Community Health Centers, Inc. Family Medicine CurrentSince Jul 30, 2021 Accepting new patients

Locations

1452 N 7th St
Fl 2
Milwaukee, WI 53205
Phone (414) 935-8000

3522 W Lisbon Ave
Milwaukee, WI 53208
Phone (414) 935-8000

945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800

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, 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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1801956214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 W BROWN DEER RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232424",
            "telephone_number": "414-874-5000",
            "fax_number": "414-874-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N79W14756 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514383",
            "telephone_number": "414-874-5000",
            "fax_number": "414-874-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "37170 020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

Verify at the official NPI Registry.