STEFANIE MAE PETRIE APNP
NPI 1013247931
Nurse Practitioner - Family in Fond Du Lac, WI

Q: What is Stefanie Petrie's NPI number?

The NPI number for Stefanie Petrie is 1013247931. It was assigned to this individual provider in the NPPES registry on December 29, 2009.

Q: What is Stefanie Petrie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stefanie Petrie was last updated on December 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 29, 2009PECOS Enrolled

912 S HICKORY ST, FOND DU LAC, WI 54935(920) 907-3922 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Stefanie Mae Petrie Apnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEFANIE MAE PETRIE APNP (NPI 1013247931) is an individual family provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (4135-33) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013247931

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTEFANIE MAE PETRIECredential: APNP

Location Address912 S HICKORY STFond Du Lac, WI 54935-5530

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340

Phone(920) 907-3922

Sole ProprietorNo

Enumeration DateDecember 29, 2009

Last NPPES UpdateDecember 16, 2020

NPPES CertifiedDecember 16, 2020

✔ NPI 1013247931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 4135-33

Also ListedRegistered NurseTaxonomy 163W00000X · License 154623030 (WI)

912 S HICKORY ST, Fond Du Lac, WI 54935

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Other Identifiers 1

Medicaid35033500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stefanie Mae Petrie Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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