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Active NPI 1013590637 Individual Practitioner Female Practitioner

Stacy Ann Broughton , REGISTERED NURSE

Registered Nurse - General Practice • Menomonee Falls, WI

Professional Overview & Biography Verified Profile Summary

Stacy Broughton, REGISTERED NURSE is a registered healthcare professional specializing in Registered Nurse - General Practice in Menomonee Falls, WI. Practice services are available at W161N9517 BLACKFOOT DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

W161n9517 Blackfoot Dr

Menomonee Falls, WI 530511565

Telephone 4147954257

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - General Practice in Menomonee Falls, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Menomonee Falls, WI (105 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-05-02
Registered Nurse - General Practice Primary Specialty

NUCC Taxonomy Code: 163WG0000X

State License WI 163175

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active May 02, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2021

Registered at W161N9517 BLACKFOOT DR, MENOMONEE FALLS, WI 530511565 (Tel: 4147954257)

📍
Updated Business Mailing Address May 02, 2021

Registered at W161N9517 BLACKFOOT DR, MENOMONEE FALLS, WI 530511565 (Tel: 4147954257)

👤
Provider Name / Credentials Updated May 02, 2021

Recorded as STACY BROUGHTON, REGISTERED NURSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2021

Registered Nurse (License #163175 in WI)

🟢
Initial NPI Registration & Enumeration May 02, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013590637
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2021
Last Update: May 02, 2021
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

W161n9517 Blackfoot Dr

Menomonee Falls, WI 530511565

Phone: 4147954257

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.