Mrs Stacey Allysun Sullivan, APNP - Medicare in Milwaukee, WI

Mrs Stacey Allysun Sullivan, APNP is a medicare enrolled "Nurse Practitioner" in Milwaukee, Wisconsin. Her current practice location is 2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 649-6780.

Mrs Stacey Allysun Sullivan is licensed to practice in Wisconsin (license number 8624) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750861969.

Contact Information

Mrs Stacey Allysun Sullivan, APNP
2801 W Kinnickinnic River Pkwy Ste 260,
Milwaukee, WI 53215-3631
(414) 649-6780
(414) 649-6030

Map and Direction




Provider's Profile

Full NameMrs Stacey Allysun Sullivan
GenderFemale
Speciality
Experience Years
Location2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Stacey Allysun Sullivan attended and graduated from in
  NPI Data:
  • NPI Number: 1750861969
  • Provider Enumeration Date: 08/16/2018
  • Last Update Date: 11/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Mrs Stacey Allysun Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750861969NPI-NPPES
100080881MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 197066 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 8624 (Wisconsin)Secondary
363L00000XNurse Practitioner 8624 (Wisconsin)Primary

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. Mrs Stacey Allysun Sullivan 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 AddressPractice Location Address
Mrs Stacey Allysun Sullivan, APNP
3301 W Forest Home Ave,
Milwaukee, WI 53215-2843

Ph: (414) 649-6780
Mrs Stacey Allysun Sullivan, APNP
2801 W Kinnickinnic River Pkwy Ste 260,
Milwaukee, WI 53215-3631

Ph: (414) 649-6780

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.