Stacy M Petersheim

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

262866-30 Issued in WI

Practice address

10408 State Highway 27
Soldiers Grove, WI 54655-7550

Phone

(608) 632-1139

NPI assigned

Oct 23, 2026

Last updated

Oct 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1932006780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10408 STATE HIGHWAY 27",
            "city": "SOLDIERS GROVE",
            "state": "WI",
            "postal_code": "546557550",
            "telephone_number": "608-632-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10408 STATE HIGHWAY 27",
            "city": "SOLDIERS GROVE",
            "state": "WI",
            "postal_code": "546557550",
            "telephone_number": "608-632-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSHEIM",
        "first_name": "STACY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "262866-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Crawford Rescue Squad, Inc.
• North Crawford School District
• NSH Soldiers Grove LLC
• Angel Ann Olson, MSW
• Tammy S Pedretti, P.A.
• Mary Root
• Sannes Skogdalen Nursing Facility LLC (Sannes Skogdalen Heim)
• Scenic Bluffs Health Center, Inc (Scenic Bluffs Community Health Center)
• Jennifer Spann, SLP
• Patricia A Swasko, A.P.N.P.

• Registered Nurse in Soldiers Grove, WI
• Providers in Soldiers Grove, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.