NPIMap

Individual provider Active NPI

Stacey L Gusman, APNP

  • Family Nurse Practitioner
  • Owen, WI
National Provider Identifier
1851556658
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3467 Issued in WI
Practice address
6 Johnson St
Owen, WI 54460-9534
Phone
(715) 229-2177
Fax
(715) 229-4450
NPI assigned
Jul 22, 2008
Last updated
Oct 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3467 WI Primary

Addresses

Primary practice location

6 Johnson St
Owen, WI 54460-9534

Mailing address

6 Johnson St
Owen, WI 54460-9534
Phone (715) 229-2177

Other identifiers 2

IdentifierTypeStateIssuer
3467OtherWIWI LICENSE
1851556658MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081017000494 WI Practitioner - Nurse Practitioner 6709944895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Wisconsin School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians
Aspirus Wausau Hospital IncGroup PAC ID 6406757442, 242 clinicians

Practice addresses (Care Compare)

1881 County Rd XX
Kronenwetter, WI 54455-7933
Phone (715) 355-4040

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 847-0477

670 Community Circle
Marrathon, WI 54448-9003
Phone (715) 443-6767

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.56 of 100Reported as group
Quality
87.43
Promoting interoperability
100
Improvement activities
40
Cost
78.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Aspirus Wausau Hospital Inc CurrentSince Mar 1, 2020 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jun 23, 2014 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jun 23, 2014 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

670 Community Cir
Marathon, WI 54448
Phone (715) 443-6767

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

333 Pine Ridge Blvd
Ste 185
Wausau, WI 54401
Phone (715) 847-0477

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Organizations & group practices 7

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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1851556658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JOHNSON ST",
            "city": "OWEN",
            "state": "WI",
            "postal_code": "544609534",
            "telephone_number": "715-229-2177",
            "fax_number": "715-229-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JOHNSON ST",
            "city": "OWEN",
            "state": "WI",
            "postal_code": "544609534",
            "telephone_number": "715-229-2177",
            "fax_number": "715-229-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSMAN",
        "first_name": "STACEY",
        "middle_name": "L",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI LICENSE",
            "identifier": "3467",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851556658",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owen, WI

Sources for this page

Verify at the official NPI Registry.