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STACY L BODEN NP
NPI 1124250063
Nurse Practitioner - Pediatrics in West Bend, WI

Active since August 11, 2009PECOS Enrolled
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095(262) 334-3451(262) 306-2964 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacy L Boden Np NPPES

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

STACY L BODEN NP (NPI 1124250063) is an individual pediatrics provider in West Bend, Wisconsin, licensed in Wisconsin (144166) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Viera.

NPPES Registry Identity

NPI1124250063
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSTACY L BODENCredential: NP
Location Address3200 PLEASANT VALLEY RDWest Bend, WI 53095-9274
Mailing Address1700 W Paradise DrWest Bend, WI 53095-9795 · (262) 334-3451 · Fax (262) 306-2964
Phone(262) 334-3451
Fax(262) 306-2964
Sole ProprietorNo
Enumeration DateAugust 11, 2009
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1124250063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in WI · 144166✔ Licensed in FL · APRN11047916
3200 PLEASANT VALLEY RD, West Bend, WI 53095
Open in Google Maps ↗

Other Names 1

Former Name (1)Stacy L Voskuil Np

Secondary Practice Location 1

Location 18057 Spyglass Hill Rd Ste 102Viera, FL 32940-8565 · Phone (321) 435-9800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy L Boden Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Boden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.
14 mi
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
NPI 1568787448 (262) 255-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53095 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.

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.

ABDEL HAI ISMAIL ALQWASMI M.D
Internal Medicine (Hematology & Oncology)
3200 PLEASANT VALLEY RD, DIVISION OF NEOPLASTIC DISEASES
WEST BEND, WI 53095
Washington County (262) 836-7200
MARY OGNENOFF OTR
Occupational Therapist
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 677-6805
MR. MATTHEW R MUELLER CRNA
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
CHRISTOPHER JON LEICHLITER M.D.
Anesthesiology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-2400
KAITLYN SOLVESON APRN-NP
Nurse Practitioner
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-5533
JENNIFER ESSER REPPAS PA-C
Physician Assistant (Surgical)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
Durable Medical Equipment & Medical Supplies
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-3451
JANET GOLDMAN MD
Obstetrics & Gynecology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300

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 Stacy Boden's NPI number?

The NPI number for Stacy Boden is 1124250063. It was assigned to this individual provider in the NPPES registry on August 11, 2009. The provider is also known as Stacy L Voskuil Np.

Where is Stacy Boden located?

Stacy Boden practices at 3200 Pleasant Valley Rd, West Bend, WI 53095. The listed phone number is (262) 334-3451.

What is Stacy Boden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Stacy Boden enrolled in Medicare?

Yes. Stacy Boden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacy Boden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Boden reassigns Medicare benefits to Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Boden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Boden accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Stacy Boden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy Boden was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.