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MARY JO STASTNY MD
NPI 1073533402
Internal Medicine in Appleton, WI

Active since July 20, 2006PECOS Enrolled
10 TRI PARK WAY, APPLETON, WI 54914(920) 831-7919(920) 831-7939 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Jo Stastny Md NPPES

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

MARY JO STASTNY MD (NPI 1073533402) is an individual internal medicine provider in Appleton, Wisconsin, licensed in Wisconsin (27088) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073533402
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARY JO STASTNYCredential: MD
Location Address10 TRI PARK WAYAppleton, WI 54914-1658
Mailing Address10 Tri Park WayAppleton, WI 54914-1658 · (920) 831-7919 · Fax (920) 831-7939
Phone(920) 831-7919
Fax(920) 831-7939
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073533402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 27088
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10 TRI PARK WAY, Appleton, WI 54914
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Other Identifiers 1

Medicare UPINB56835WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Jo Stastny Md 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 54914 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 20

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

DR. MINDEE JUVE PHD
Psychologist (Clinical)
10 TRI PARK WAY
APPLETON, WI 54914
Outagamie County (920) 831-0070
MRS. KAY ELLEN MARSICEK BSN
Registered Nurse
10 TRI PARK WAY
APPLETON, WI 54914
Outagamie County (920) 831-0070
DR. BRIAN MICHAEL DEMURI MD
Psychiatry & Neurology (Psychiatry)
10 TRI PARK WAY
APPLETON, WI 54914
Outagamie County (920) 831-7908
KARLA OPHEIM
Pharmacist (Psychiatric)
10 TRI PARK WAY
APPLETON, WI 54914
Outagamie County (920) 831-0070
GAIL MARY MCNUTT MD
Internal Medicine
10 TRI PARK WAY
APPLETON, WI 54914
Outagamie County (920) 831-0070
SHIRLEY ANN WURZER RN
Registered Nurse (Ambulatory Care)
10 TRI PARK WAY
APPLETON, WI 54914
Outagamie County (920) 831-0070
AMY H STACK
Registered Nurse
10 TRI PARK WAY
APPLETON, WI 54914
Outagamie County (920) 831-0070
DR. CASSANDRA JESPERSON DPT
Clinic/Center (Physical Therapy)
10 TRI PARK WAY
APPLETON, WI 54914
Outagamie County (920) 831-7902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Stastny's NPI number?

The NPI number for Mary Stastny is 1073533402. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Mary Stastny located?

Mary Stastny practices at 10 Tri Park Way, Appleton, WI 54914. The listed phone number is (920) 831-7919.

What is Mary Stastny's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mary Stastny enrolled in Medicare?

Yes. Mary Stastny is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Stastny was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.