TERESA ANNE SANFORD DNP, CNP
NPI 1356320055
Nurse Practitioner - Family in Waukesha, WI

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
83.72/100
CMS Quality Rating
N20W22961 WATERTOWN RD, WAUKESHA, WI 53186(262) 875-5070(866) 384-9486 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2023, Jul 21, 2022, May 25, 2017 and 1 more (4 updates tracked since 2017).

About Teresa Anne Sanford Dnp, Cnp NPPES

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

TERESA ANNE SANFORD DNP, CNP (NPI 1356320055) is an individual family provider in Waukesha, Wisconsin, licensed in Wisconsin (4689-33) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and maintains a secondary practice location in Hudson.

NPPES Registry Identity

NPI1356320055
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERESA ANNE SANFORDCredential: DNP, CNP
Location AddressN20W22961 WATERTOWN RDWaukesha, WI 53186-1306
Mailing Address403 Stageline Rd, Suite 250Hudson, WI 54016-7848 · (651) 772-6251 · Fax (651) 224-9661
Fax(866) 384-9486
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2005
Enumeration DateJanuary 11, 2006
Last NPPES UpdateNovember 1, 20234 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
NPI 1356320055 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 · 4689-33 Licensed in MN · R1515154
N20W22961 WATERTOWN RD, Waukesha, WI 53186

Other Names 1

Other Name (5)Teresa A Stankowski Rn Cnp

Secondary Practice Location 1

Location 1403 Stageline RdHudson, WI 54016-7848 · Phone (715) 531-6800 · Fax (715) 531-6801

Other Identifiers 4

Other899771045344MN · Preferred One
Medicaid482426100MN
Other135413MN · Ucare
Other1356320055MN · Medica

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 and accepts Medicare assignment

Teresa Anne Sanford Dnp, Cnp 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 ID8224060744
PECOS Enrollment IDI20111207000244
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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
356 services133 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
279 services124 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
134 services109 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
59 services56 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
11 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53186 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.

83.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.54
Promoting Interoperability100
Improvement Activities40
Cost58.37

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.10 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier22 claims660 services$6.23 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers13 claims13 services$26.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Nurse Practitioner (Psychiatric/Mental Health)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Nurse Practitioner (Gerontology)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Nurse Practitioner
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Nurse Practitioner (Family)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Nurse Practitioner (Acute Care)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Nurse Practitioner (Family)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Nurse Practitioner (Gerontology)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186

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 Teresa Sanford's NPI number?

The NPI number for Teresa Sanford is 1356320055. It was assigned to this individual provider in the NPPES registry on January 11, 2006. The provider is also known as Teresa A Stankowski Rn Cnp.

Where is Teresa Sanford located?

Teresa Sanford practices at N20w22961 Watertown Rd, Waukesha, WI 53186. The listed phone number is (262) 875-5070.

What is Teresa Sanford's specialty?

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

Is Teresa Sanford enrolled in Medicare?

Yes. Teresa Sanford 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 Teresa Sanford accept?

Health plans from CareSource (Common Ground Healthcare) list Teresa Sanford 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 Teresa Sanford affiliated with any hospitals?

According to CMS data, Teresa Sanford is affiliated with Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Teresa Sanford was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.