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: July 26, 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
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

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

Medicare Participation & PECOS CMS

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

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.

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.

Internal Medicine (Hematology & Oncology)
3200 PLEASANT VALLEY RD, DIVISION OF NEOPLASTIC DISEASES
WEST BEND, WI 53095
Occupational Therapist
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Anesthesiology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Physician Assistant (Surgical)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Durable Medical Equipment & Medical Supplies
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Obstetrics & Gynecology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095

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.

What insurance does Stacy Boden accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health 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 with the weekly NPPES data releases published by CMS.