Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750861969 Individual Practitioner Female Practitioner

Stacey Allysun Sullivan , APNP

Nurse Practitioner • Milwaukee, WI

Professional Overview & Biography Verified Profile Summary

Stacey Sullivan, APNP is a registered healthcare professional specializing in Nurse Practitioner in Milwaukee, WI. Practice services are available at 2801 W KINNICKINNIC RIVER PKWY STE 260 under active NPI credentials.

Frequently performed procedures and clinical services include hemoglobin a1c level, established patient outpatient office visit, continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2801 W Kinnickinnic River Pkwy Ste 260

Milwaukee, WI 532153631

Telephone 4146496780
Fax 4146496030
Associated Practice Facility / Clinic
🏢 Aurora Medical Group, Inc. Facility NPI 1659731172

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
698 Specialists

Practicing in Milwaukee, WI (4030 Statewide)

Telehealth Adoption Rate
16.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
97 74 $80.00 $9.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
80 63 $658.00 $145.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
64 51 $465.00 $100.89
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
59 37 $170.00 $28.84
82962 Blood glucose (sugar) test performed by hand-held instrument
15 15 $30.00 $3.02
36415 Insertion of needle into vein for collection of blood sample
11 11 $25.00 $2.94

Medical Specialties & State Licenses

CMS Verified: 2021-11-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 8624

(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 197066

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WI 8624

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100080881 (WI)

Secondary Practice Locations

36500 Aurora Dr

Summit, WI 530664899

Phone: 6022148834

Practice Associates & Co-Workers

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

31 Associated Practitioners
Westin Knigge

Physician Assistant

NPI 1013723139
Dr. Betiel Voss , MD, MPH

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1023378445

Doctor of Medicine (M.D.), Master of Public Health

Vanessa Cain , MSN RN

Registered Nurse

NPI 1033579263

MSNRN

Carl Chojnacki , APNP

Nurse Practitioner

NPI 1043551971

Advanced Practice Nurse Prescriber

Dr. Syed Basit Haider , MBBS

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1134879034

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Stacy Barron , RN

Registered Nurse - Diabetes Educator

NPI 1154105823

Registered Nurse

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 19, 2020

Registered at 2801 W KINNICKINNIC RIVER PKWY STE 260, MILWAUKEE, WI 532153631 (Tel: 4146496780)

📍
Updated Business Mailing Address March 19, 2020

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 4146496780)

NPI Profile Active August 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2018

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 6022148834)

📍
Updated Business Mailing Address August 16, 2018

Registered at 36500 AURORA DR, SUMMIT, WI 530664899

👤
Provider Name / Credentials Updated August 16, 2018

Recorded as STACEY SULLIVAN, APNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2018

Registered Nurse (License #197066 in WI)

🟢
Initial NPI Registration & Enumeration August 16, 2018

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: 1750861969
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2018
Last Update: November 24, 2021
Sole Proprietor: No

Mailing Address

3301 W Forest Home Ave

Milwaukee, WI 532152843

Phone: 4146496780

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.