Holly Stainer, APNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

15748 Issued in WI

Practice address

1100 Bergslien St
Baldwin, WI 54002-2600

Phone

(715) 684-1111

Fax

(715) 684-1119

NPI assigned

Oct 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Holly Dettmering Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baldwin Area Medical Center IncGroup PAC ID 7911800586, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakeview Hospice Hospice, Oak Park Heights, MN, CCN 241552
• Western Wisconsin Health Hospital, Baldwin, WI, CCN 521347
• Mayo Clinic Health System in Red Wing Hospital, Red Wing, MN, CCN 240018
• Christian Community Home Nursing home, Hudson, WI, CCN 525626

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hstainer637782@excellian.direct.allina.com

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.

• Baldwin Area Medical Center, Inc.

  • Critical Access Hospital
  • Baldwin, WI
  • NPI 1467496133
  Medicare reassignment Care Compare group NPD
• Baldwin Area Medical Center Inc.

  • Clinic/Center
  • Spring Valley, WI
  • NPI 1164272324
  NPD

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

• Mayo Clinic Health System-Southeast Minnesota Region

  • General Acute Care Hospital
  • Red Wing, MN
  • NPI 1164400024
  Care Compare affiliation Name & address match
• Baldwin Area Medical Center, Inc.

  • Critical Access Hospital
  • Baldwin, WI
  • NPI 1467496133
  Care Compare affiliation
• Christian Community Home of Hudson, Inc

  • Skilled Nursing Facility
  • Hudson, WI
  • NPI 1568459840

  Nursing home

  Care Compare affiliation
• Lakeview Memorial Hospital Association, Inc.

  • Community Based Hospice Care Agency
  • Stillwater, MN
  • NPI 1245225150
  Care Compare affiliation

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1902625809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BERGSLIEN ST",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540022600",
            "telephone_number": "715-684-1553",
            "fax_number": "715-684-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BERGSLIEN ST",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540022600",
            "telephone_number": "715-684-1111",
            "fax_number": "715-684-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAINER",
        "first_name": "HOLLY",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2025-01-23",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "15748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "DETTMERING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• St Croix Valley Shared Services
• St. Croix Orthopaedics, P.a.
• St. Croix Valley Shared Services, Inc.
• St. Croix Valley Shared Services, Inc.
• Braeden Nelson St.Pierre, PTA
• Shelley Rae Stanton, M.D.
• Kaitlin Steavenson, PT
• Becky Kay Stephenson, COTA
• Joel S Stoeckeler, M.D.
• Jacob Stoffel, DC

• Nurse Practitioner in Baldwin, WI
• Providers in Baldwin, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.