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Active NPI 1154415842 Individual Practitioner Female Practitioner

Stacy A Leidel , APNP

Nurse Practitioner • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacy Leidel, APNP is a certified Nurse Practitioner practicing in Madison, WI. With approximately 24 years of clinical experience since completing medical education in 2002, Stacy Leidel delivers high-quality medical care to the local community at 1102 S PARK ST.

Stacy Leidel is affiliated with Access Community Health Centers Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include administration of influenza virus vaccine, admn sarscov2 vacc 1 dose, sarscov2 vac 50 mcg/0.5ml im. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1102 S Park St

Madison, WI 537151708

Telephone 6082633111
Fax 6082636663
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Madison, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +13.8 yrs vs City Avg
City Avg: 10.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
519 Specialists

Practicing in Madison, WI (4030 Statewide)

Telehealth Adoption Rate
32.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Leidel (24 Years) 24 Yrs
Madison Specialty Average (10.2 Years) 10.2 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
G0008 Administration of influenza virus vaccine
45 45 $33.00 $30.42
90480 Admn sarscov2 vacc 1 dose
37 37 $50.00 $40.56
91322 Sarscov2 vac 50 mcg/0.5ml im
36 36 $356.00 $158.42
90653 Vaccine for influenza for injection into muscle
33 33 $171.00 $81.82
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage
12 12 $60.00 $21.90

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 6809-33

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License WI 226405-30

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1154415842 (WI)
Commercial Insurance / Payer ID Caqh
11934107

Hospital & Practice Group Affiliations

Access Community Health Centers Inc

2202 S Park St, Madison, WI 537131916

Phone: 6084435480

Access Community Health Centers Inc

3434 E Washington Ave, Madison, WI 537044155

Phone: 6084435480

Access Community Health Centers Inc

1102 S Park St, Madison, WI 537151708

Phone: 6082633111

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013371418

Doctor of Medicine (M.D.)

NPI 1043466030

Doctor of Medicine (M.D.)

Dr. Jose Carrillo , MD

Family Medicine

NPI 1063094993

Doctor of Medicine (M.D.)

NPI 1104260702

Doctor of Medicine (M.D.)

Kameron Gottlieb , PA-C

Physician Assistant

NPI 1134050511

Physician Assistant (Certified)

Dr. Ulochi Nwagwu , MD

Student in an Organized Health Care Education/Training Program

NPI 1174376081

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 February 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2016

Registered at 1102 S PARK ST, MADISON, WI 537151708 (Tel: 6082633111)

📍
Updated Business Mailing Address February 03, 2016

Registered at 2901 W BELTLINE HWY, SUITE 120, MADISON, WI 537134226 (Tel: 6084435500)

👤
Provider Name / Credentials Updated February 03, 2016

Recorded as STACY LEIDEL, APNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2016

Registered Nurse (License #226405-30 in WI)

🟢
Initial NPI Registration & Enumeration October 03, 2006

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: 1154415842
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: February 03, 2016
Sole Proprietor: No

Mailing Address

2901 W Beltline Hwy, Suite 120

Madison, WI 537134226

Phone: 6084435500

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.