Stephanie Ann Ansfield, PA
Individual provider Active NPI Physician Assistant · De Pere, WI
NPI 1881743490 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1881743490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1336-023 (WI)
- Practice address
- 1800 Lawrence Dr
De Pere, WI 54115-9108 - Phone
- (920) 983-3220
- Fax
- (920) 983-3226
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bellin Memorial Hospital Inc
Practice addresses (Care Compare)
1800 Lawrence Dr
De Pere, WI 54115-9108
Phone (920) 983-3220
2020 S Webster Ave
Accounting
Green Bay, WI 54301-3505
744 S Webster Ave
Green Bay, WI 54301-3505
Hospital & facility affiliations
- Bellin Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070330000103 | WI | Practitioner - Physician Assistant | 2365546405 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1336-023 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
Interoperability endpoints
- sansfield34620@direct.thedacare.org
- sansfield942646@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1336-023 | WI | Yes |
Addresses
Primary practice location
1800 Lawrence Dr
De Pere, WI 54115-9108
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other names
- Stephanie Ann Brumm
Other providers in De Pere, WI
- Andrews Physical Therapy, SC
- Eliza Maria Teresa Andrews
- Lori Ann Andrus
- Angel'S Touch Assisted Living, LLC
- Jordan Angst
- Faith Olivia Anthony
- Paul Antonissen
- Stephen Matthew Asma
- Atelier Therapy Studio
- Peter Aubry
All providers in De Pere, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.