STACIE A EBBEN NP
NPI 1326769498
Nurse Practitioner in Appleton, WI

Active since September 07, 2022PECOS Enrolled
3925 N GATEWAY DR, APPLETON, WI 54913(920) 830-6877 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 5, 2022, Sep 27, 2022, Sep 7, 2022 (3 updates tracked since 2022).

About Stacie A Ebben Np NPPES

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

STACIE A EBBEN NP (NPI 1326769498) is an individual nurse practitioner in Appleton, Wisconsin, licensed in Wisconsin (13149-33) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326769498
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACIE A EBBENCredential: NP
Location Address3925 N GATEWAY DRAppleton, WI 54913-7863
Mailing AddressN535 Thelosen DrAppleton, WI 54915-5507
Sole ProprietorNo
Enumeration DateSeptember 7, 2022
Last NPPES UpdateOctober 13, 20253 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
NPI 1326769498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 13149-33
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 235881-30 (WI)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 13149 (WI)
3925 N GATEWAY DR, Appleton, WI 54913

Other Names 1

Former Name (1)Stacie Moore Rn

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)

Stacie A Ebben 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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.

Dietitian, Registered
3925 N GATEWAY DR
APPLETON, WI 54913
Health Educator
3925 N GATEWAY DR
APPLETON, WI 54913
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913
Radiology (Radiation Oncology)
3925 N GATEWAY DR
APPLETON, WI 54913
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913
Internal Medicine (Hospice and Palliative Medicine)
3925 N GATEWAY DR
APPLETON, WI 54913
Internal Medicine (Hematology & Oncology)
3925 N GATEWAY DR
APPLETON, WI 54913

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326769498, enumerated as an "individual" on September 07, 2022.

The provider is located at 3925 N GATEWAY DR APPLETON, WI 54913 and the phone number is (920) 830-6877.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Aspirus Health Plan and CareSource (Common Ground. Please consult your insurance carrier or call the provider to verify.