Staci J Boris, FNP in Appleton, WI - Medicare Nurse Practitioner

Staci J Boris, FNP is a medicare enrolled "Nurse Practitioner - Family" in Appleton, Wisconsin. Her current practice location is 2500 E Capitol Dr, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (866) 455-8111.

Staci J Boris is licensed to practice in Wisconsin (license number 10173) 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 1386001154.

Contact Information

	Staci J Boris, FNP
	2500 E Capitol Dr, Appleton, WI 54911-8735
	(866) 455-8111
	(920) 883-0491

Map and Direction

Provider's Profile

Full Name	Staci J Boris
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2500 E Capitol Dr, 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: 1386001154
Provider Enumeration Date: 01/25/2016
Last Update Date: 10/12/2020

Medicare PECOS Information:

PECOS PAC ID: 1557666104
Enrollment ID: I20160219001516

Medical Identifiers

Medical identifiers for Staci J Boris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386001154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704210616 (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	10173 (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. Staci J Boris allows following entities to bill medicare on her behalf.

Entity Name	Orthopaedic Surgery Associates Of Marquette Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730199845 PECOS PAC ID: 5799702437 Enrollment ID: O20051101000455

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. Staci J Boris 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
Staci J Boris, FNP 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 454-4229	Staci J Boris, FNP 2500 E Capitol Dr, Appleton, WI 54911-8735 Ph: (866) 455-8111

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

Staci J Boris, FNP - Medicare Nurse Practitioner in Appleton, WI