Active NPI 1619223146 Individual Practitioner Female Practitioner

Allison L Stallbohm , APNP

Nurse Practitioner • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Allison Stallbohm, APNP is a certified Nurse Practitioner practicing in Appleton, WI. With approximately 14 years of clinical experience since completing medical education in 2012, Allison Stallbohm delivers high-quality medical care to the local community at 1501 S MADISON ST.

Allison Stallbohm is affiliated with Ascension Medical Group-Fox Valley Wisconsin Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1501 S Madison St

Appleton, WI 549151846

Telephone 9207304414

Associated Practice Facility / Clinic

🏢 Ascension Medical Group-Fox Valley Wisconsin, Inc Facility NPI 1821194283

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Appleton, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +4.2 yrs vs City Avg

City Avg: 9.8 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

156 Specialists

Practicing in Appleton, WI (4030 Statewide)

Telehealth Adoption Rate

6.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stallbohm (14 Years) 14 Yrs

Appleton Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	82	$317.51	$101.79
36415 Insertion of needle into vein for collection of blood sample	102	65	$34.68	$8.49
99497 Advance care planning, first 30 minutes	68	68	$243.47	$65.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$360.14	$103.55
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$215.50	$72.49
G0008 Administration of influenza virus vaccine	15	15	$9.93	$9.73
90662 Influenza vaccine split virus, preservative free	15	15	$113.47	$81.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	91	$301.50	$103.87
36415 Insertion of needle into vein for collection of blood sample	141	71	$32.02	$8.34
99497 Advance care planning, first 30 minutes	75	75	$161.91	$67.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	74	74	$343.14	$105.96
99213 Established patient office or other outpatient visit, typically 15 minutes	38	37	$203.03	$73.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	187	93	$30.48	$2.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	93	$288.89	$103.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	81	81	$329.22	$106.44
99497 Advance care planning, first 30 minutes	52	52	$155.38	$68.34
99213 Established patient office or other outpatient visit, typically 15 minutes	41	31	$194.51	$73.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	218	104	$30.00	$2.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	99	$277.14	$103.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$316.70	$104.72
99213 Established patient office or other outpatient visit, typically 15 minutes	73	56	$188.12	$73.88
G0008 Administration of influenza virus vaccine	22	22	$8.00	$8.00
99497 Advance care planning, first 30 minutes	19	19	$148.16	$66.15
90662 Influenza vaccine split virus, preservative free	16	16	$84.81	$60.91
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$197.73	$123.92
G0009 Administration of pneumococcal vaccine	15	15	$8.00	$8.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	222	112	$29.11	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	115	$266.64	$88.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	93	93	$305.23	$94.37
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$180.57	$61.78
G0008 Administration of influenza virus vaccine	28	25	$8.00	$7.67
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	18	$34.30	$18.28
G0009 Administration of pneumococcal vaccine	17	17	$8.00	$7.94
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$193.27	$109.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	118	$261.00	$87.94
36415 Insertion of needle into vein for collection of blood sample	219	105	$28.00	$2.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	94	94	$298.00	$94.99
99213 Established patient office or other outpatient visit, typically 15 minutes	42	38	$176.00	$59.78
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	25	25	$33.00	$17.90
G0008 Administration of influenza virus vaccine	24	24	$8.00	$7.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	127	$256.74	$87.20
36415 Insertion of needle into vein for collection of blood sample	234	121	$28.00	$2.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	90	$294.00	$95.10
99213 Established patient office or other outpatient visit, typically 15 minutes	50	46	$173.00	$58.84
G0008 Administration of influenza virus vaccine	35	35	$8.00	$7.62
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	35	35	$34.31	$22.84
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$366.50	$129.97
71046 X-ray of chest, 2 views	12	11	$99.25	$17.26
G0009 Administration of pneumococcal vaccine	11	11	$8.00	$7.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	138	$253.00	$85.18
36415 Insertion of needle into vein for collection of blood sample	203	106	$28.00	$2.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	81	81	$289.00	$94.22
99213 Established patient office or other outpatient visit, typically 15 minutes	71	57	$170.00	$59.00
G0008 Administration of influenza virus vaccine	20	20	$8.00	$7.45
G0009 Administration of pneumococcal vaccine	15	15	$8.00	$7.84
71020 X-ray of chest, 2 views, front and side	14	13	$98.00	$16.05
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$215.00	$135.29

Medical Specialties & State Licenses

CMS Verified: 2021-05-14

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 144714

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Ascension Medical Group-Fox Valley Wisconsin Inc

W6981 Parkview Dr, Greenville, WI 549428034

Phone: 9208822400

Ascension Medical Group-Fox Valley Wisconsin Inc

2601 Fieldcrest Dr, Kaukauna, WI 541304523

Phone: 9204626100

Ascension Medical Group-Fox Valley Wisconsin Inc

1506 S Oneida St, Appleton, WI 549151305

Phone: 9207382000

Ascension Medical Group-Fox Valley Wisconsin Inc

200 Patriot Dr, Little Chute, WI 541401184

Phone: 9206872800

Ascension Medical Group-Fox Valley Wisconsin Inc

1501 S Madison St, Appleton, WI 549151846

Phone: 9207382000

Ascension Medical Group-Fox Valley Wisconsin Inc

1420 Algoma St, New London, WI 549612104

Phone: 9209828300

Ascension Medical Group-Fox Valley Wisconsin Inc

3329 N Richard St, Appleton, WI 549111063

Phone: 9203802715

Ascension Medical Group-Fox Valley Wisconsin Inc

101 Main St, Neenah, WI 549562570

Phone: 9207274200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Holly Rusch , AuD

Audiologist

NPI 1275529513

Doctor of Audiology

Dr. Shanthi Joseph , MD

Internal Medicine

NPI 1417941212

Doctor of Medicine (M.D.)

Dr. Aditya Rangbulla , MD

Internal Medicine

NPI 1659571867

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 02, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 02, 2012

Registered at 1501 S MADISON ST, APPLETON, WI 549151846 (Tel: 9207304414)

📍

Updated Business Mailing Address August 02, 2012

Registered at 1501 S MADISON ST, APPLETON, WI 549151846 (Tel: 9207304414)

👤

Provider Name / Credentials Updated August 02, 2012

Recorded as ALLISON STALLBOHM, APNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2012

Nurse Practitioner (License #144714 in WI)

🟢

Initial NPI Registration & Enumeration August 02, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619223146

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 02, 2012

Last Update: May 14, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1501 S Madison St

Appleton, WI 549151846

Phone: 9207304414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.