Elevora Eunoia LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Hustler, WI
NPI 1932036050 · NPPES record last updated Jun 8, 2026
Key facts
- NPI
- 1932036050
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- ELEVORA EUNOIA LLC
- Practice address
- 111 E Main St
Hustler, WI 54637 - Phone
- (608) 548-7196
- NPI assigned
- May 4, 2026
- Organization subpart
- No
Authorized official
- Name
- Samantha Stubbs, PMHNP
- Title
- Owner
- Phone
- (608) 548-7196
Practitioners 2
-
Codie Jordan Vassar, M.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260611001904 | WI | Part B Supplier - Clinic/Group Practice | 9335611235 |
Receives reassigned benefits from 2 practitioners Practice locations: Hustler, WI |
National Provider Directory
Locations
111 E Main St
Hustler, WI 54637
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
111 E Main St
Hustler, WI 54637
Mailing address
314 W Pearl St
New Lisbon, WI 53950-1135
Phone (608) 548-7196
Other providers in Hustler, WI
All providers in Hustler, WI · Psychiatric/Mental Health Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.