Mary Stample, APNP in Appleton, WI - Medicare Nurse Practitioner

Mary Stample, APNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Appleton, Wisconsin. Her current practice location is 2500 E Enterprise Ave Ste B, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 416-8577.

Mary Stample is licensed to practice in Wisconsin (license number 13509-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750096145.

Contact Information

	Mary Stample, APNP
	2500 E Enterprise Ave Ste B, Appleton, WI 54913-8556
	(920) 416-8577
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Stample
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2500 E Enterprise Ave Ste B, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750096145
Provider Enumeration Date: 01/19/2023
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 3274907613
Enrollment ID: I20230324002510

Medical Identifiers

Medical identifiers for Mary Stample such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750096145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	13509-33 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Stample allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Counseling Wi Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659977866 PECOS PAC ID: 1052729464 Enrollment ID: O20210426000171

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Stample is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mary Stample, APNP 2500 E Enterprise Ave Ste B, Appleton, WI 54913-8556 Ph: (920) 416-8577	Mary Stample, APNP 2500 E Enterprise Ave Ste B, Appleton, WI 54913-8556 Ph: (920) 416-8577

Reviews and Comments

Nurse Practitioner Nurses in Appleton, WI

Ann M Hefter, AGACNP-BC, MSN, BSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900
Dessia J Laxton, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900 Fax: 920-738-5369
Katie Geiser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5045 W Grande Market Dr, Appleton, WI 54913 Phone: 920-886-9380
Ingrid K Simpson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 E Capitol Dr, Appleton, WI 54911 Phone: 920-831-5050 Fax: 920-831-1867
Lisa Valiquette, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-738-4600 Fax: 920-738-4792
Kimberly A Romenesko, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-735-7645 Fax: 920-735-7618
Steven R Hamel, APN FP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877

Mary Stample, APNP - Medicare Nurse Practitioner in Appleton, WI