Amy Marie Stacey, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4393 Issued in WI

Practice address

142 Glenway St
Madison, WI 53705-5208

Phone

(608) 852-4909

NPI assigned

Aug 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1841579083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 GLENWAY ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537055208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 GLENWAY ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537055208",
            "telephone_number": "608-852-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACEY",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4393",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "4393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine St. John, LMFT
• Thomas John St. Peter
• Patricia V Staats, MD
• Nicholas John Stabo, M.D.
• Kimberly Ann Stace, COTA
• Erik Andrew Stacey, DDS
• John Charles Stacey, DDS
• Ellis Stachowiak, APNP
• Michelle Suzanne Stachowiak, PT, DPT
• Stacy L Killinger, PHD LLC

• Acute Care Nurse Practitioner in Madison, WI
• Providers in Madison, WI by specialty
• Acute Care Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.