Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821265638 Individual Practitioner Female Practitioner

Ida Lyn Stevenson , COTA, L

Skilled Nursing Facility • Monroe, WI

Professional Overview & Biography Verified Profile Summary

Ida Stevenson, COTA, L is a registered healthcare professional specializing in Skilled Nursing Facility in Monroe, WI. Practice services are available at 2903 13TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2903 13th St

Monroe, WI 535662245

Telephone 6085586032

Specialty Benchmarks & Practice Insights

Comparative analytics for Skilled Nursing Facility in Monroe, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Monroe, WI (51 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: 2020-10-19
Skilled Nursing Facility Primary Specialty

NUCC Taxonomy Code: 314000000X

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Occupational Therapy Assistant Liscense
057003252 (IL)
Commercial Insurance / Payer ID Occupational Therapy Assistant Liscense
1902-27 (WI)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 19, 2020

Registered at 2903 13TH ST, MONROE, WI 535662245 (Tel: 6085586032)

📍
Updated Business Mailing Address October 19, 2020

Registered at 2903 13TH ST, MONROE, WI 535662245 (Tel: 6085586032)

👤
Provider Name / Credentials Updated October 19, 2020

Recorded as IDA STEVENSON, COTA/L

NPI Profile Active May 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2008

Registered at 6201 ELMWOOD AVE, MIDDLETON, WI 535623319 (Tel: 6085586032)

📍
Updated Business Mailing Address May 12, 2008

Registered at PO BOX 223, NEW GLARUS, WI 535740223

👤
Provider Name / Credentials Updated May 12, 2008

Recorded as IDA STEVENSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2008

Skilled Nursing Facility

🟢
Initial NPI Registration & Enumeration May 12, 2008

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: 1821265638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2008
Last Update: October 19, 2020
Sole Proprietor: Yes

Mailing Address

2903 13th St

Monroe, WI 535662245

Phone: 6085586032

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.