NPIMap

Individual provider Active NPI

John Gordon Stangl, P.A.-C

  • Medical Physician Assistant
  • Madison, WI
National Provider Identifier
1831579515
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
8195 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-0001
Phone
(608) 263-8954
Fax
(608) 262-8396
NPI assigned
Jun 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 8195 WI Primary
Physician Assistant 363A00000X 60721868 WA

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-0001

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170424001359 WA Practitioner - Physician Assistant 4880970011 Reassigns benefits to 3 organizations
I20250224003462 WI Practitioner - Physician Assistant 4880970011 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Wisconsin School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians
Swea Fort SCGroup PAC ID 0345774972, 51 clinicians

Practice addresses (Care Compare)

202 S Park St
Madison, WI 53715-1507
Phone (608) 287-2050

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-5475

Hospital & facility affiliations

  • Fort Memorial Hospital Hospital, Fort Atkinson, WI, CCN 520071
  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • Unitypoint Health - Meriter Hospital, Madison, WI, CCN 520089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
60721868WAMDPhysician Assistant
8195WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tacoma Emergency Care Physicians, PLLC CurrentSince Feb 21, 2018 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Mar 31, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Mar 31, 2025 Accepting new patients
Swea Fort SC CurrentSince Sep 26, 2025 Accepting new patients
Stoughton Hospital Association CurrentSince Jan 24, 2026 Accepting new patients
Edgerton Hospital and Health Services, Inc CurrentSince Apr 1, 2025 Accepting new patients
Stoughton Hospital Association CurrentSince May 23, 2025 Accepting new patients
Edgerton Hospital and Health Services Inc CurrentSince Apr 1, 2025 Accepting new patients

Locations

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

831 Arthur Dr
Milton, WI 53563
Phone (608) 868-3526

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

Interoperability endpoints

  • Direct secure messaging: jstangl538598@direct-ehr-ssmhc.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1831579515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-263-8954",
            "fax_number": "608-262-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGL",
        "first_name": "JOHN",
        "middle_name": "GORDON",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "8195",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "60721868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.