PATRICK J STUMBRAS PSYD
NPI 1326473240
Psychologist - Clinical in De Pere, WI
About Patrick J Stumbras Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICK J STUMBRAS PSYD (NPI 1326473240) is an individual clinical provider in De Pere, Wisconsin, licensed in Wisconsin (3744-57) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Patrick J Stumbras Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Patrick Stumbras reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 742 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 673 clinicians in this Medicare group
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 54115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Patrick Stumbras's NPI number?
The NPI number for Patrick Stumbras is 1326473240. It was assigned to this individual provider in the NPPES registry on September 10, 2013.
Where is Patrick Stumbras located?
Patrick Stumbras practices at 3860 Monroe Rd, De Pere, WI 54115. The listed phone number is (920) 496-4700.
What is Patrick Stumbras's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Patrick Stumbras enrolled in Medicare?
Yes. Patrick Stumbras is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Patrick Stumbras's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Stumbras reassigns Medicare benefits to 2 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI). Each 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 Patrick Stumbras's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Patrick Stumbras accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and Security Health Plan list Patrick Stumbras 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 Patrick Stumbras was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Patrick J Stumbras, PSYD · NPI 1326473240
Clinical provider in De Pere, Wisconsin. Individual provider, active in the CMS NPPES registry since September 10, 2013.
## Identity
- **NPI:** 1326473240 (Entity type: Individual)
- **Enumerated:** September 10, 2013
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 3744-57 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3860 MONROE RD, De Pere, WI 54115-8399
- **Phone:** (920) 496-4700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (NPI 1285613638, Green Bay, WI); St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (NPI 1275799413, Sheboygan, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1326473240) · Data from the CMS NPPES public registry.