NPIMap

Individual provider Active NPI

Stephanie Wanek, NP

  • Nurse Practitioner
  • Dodgeville, WI
National Provider Identifier
1942861406
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9308-33 Issued in WI
Practice address
800 Compassion Way
Dodgeville, WI 53533-1956
Phone
(608) 930-7114
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9308-33 WI Primary

Addresses

Primary practice location

800 Compassion Way
Dodgeville, WI 53533-1956

Mailing address

33822 Buckeye LN
Blue River, WI 53518-8124
Phone (608) 604-2304

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
I20191022001513 WI Practitioner - Nurse Practitioner 2264764448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upland Hills Health IncGroup PAC ID 3072415553, 97 clinicians

Practice addresses (Care Compare)

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (608) 930-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
97.3
Promoting interoperability
100
Improvement activities
40
Cost
74.83

Merit-based Incentive Payment System (MIPS)

Final score
80.26 of 100Reported as group
Quality
92.24
Promoting interoperability
100
Improvement activities
40
Cost
41.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9308-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upland Hills Health, Inc CurrentSince Nov 1, 2019 Accepting new patients
Upland Hills Health, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Upland Hills Health, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Upland Hills Health, Inc. Past Accepting new patients

Locations

103 Quail Ridge Dr
Barneveld, WI 53507
Phone (608) 924-1088

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

1204 Joseph St
Dodgeville, WI 53533
Phone (608) 574-5044

1050 Branger Dr
Ste 1
Mineral Point, WI 53565

1883 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-8040

Interoperability endpoints

  • Direct secure messaging: swanek268568@direct-ehr-ssmhc.com

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1942861406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33822 BUCKEYE LN",
            "city": "BLUE RIVER",
            "state": "WI",
            "postal_code": "535188124",
            "telephone_number": "608-604-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COMPASSION WAY",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331956",
            "telephone_number": "608-930-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANEK",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9308-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodgeville, WI

Sources for this page

Verify at the official NPI Registry.