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KYLE J STELLPFLUG APNP
NPI 1336819481
Nurse Practitioner - Family in Marshfield, WI

Active since September 20, 2021PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5511 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2021, Sep 20, 2021 (2 updates tracked since 2021).

About Kyle J Stellpflug Apnp NPPES

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

KYLE J STELLPFLUG APNP (NPI 1336819481) is an individual family provider in Marshfield, Wisconsin, licensed in Wisconsin (11603) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336819481
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKYLE J STELLPFLUGCredential: APNP
Location Address1000 N OAK AVEMarshfield, WI 54449-5703
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703
Phone(715) 387-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 20, 2021
Last NPPES UpdateJune 28, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1336819481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in WI · 11603✔ Licensed in KS · 53-80529-082
1000 N OAK AVE, Marshfield, WI 54449
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle J Stellpflug Apnp 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.

PECOS PAC ID6507258613
PECOS Enrollment IDI20220124001076
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
16 services15 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 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.

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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

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.

ALISON RAE SAMPSON D.O.
Obstetrics & Gynecology
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5161
TAMARA L. LEAHY NP
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (800) 782-8581
SAMANTHA ELAINE MOORE RD, CD, CDCES
Dietitian, Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 389-7464
EUGENE H. LARSON PA
Physician Assistant
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5245
JAMES SKIBBA CRNA
Nurse Anesthetist, Certified Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-7179
KENNETH E ENGELHART MD
Internal Medicine
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5704
KRISTIN M GERNDT MD
Radiology (Vascular & Interventional Radiology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 389-3474
VIRGINIA WOOLWORTH NP
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5558

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 Kyle Stellpflug's NPI number?

The NPI number for Kyle Stellpflug is 1336819481. It was assigned to this individual provider in the NPPES registry on September 20, 2021.

Where is Kyle Stellpflug located?

Kyle Stellpflug practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 387-5511.

What is Kyle Stellpflug's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kyle Stellpflug enrolled in Medicare?

Yes. Kyle Stellpflug 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.

What insurance does Kyle Stellpflug accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Sanford Health Plan list Kyle Stellpflug 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.

Is Kyle Stellpflug affiliated with any hospitals?

According to CMS data, Kyle Stellpflug is affiliated with Marshfield Medical Center.

When was this NPI record last updated?

The NPPES record for Kyle Stellpflug was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.