STACI J BORIS FNP
NPI 1386001154
Nurse Practitioner - Family in Appleton, WI

Active since January 25, 2016
2500 E CAPITOL DR, APPLETON, WI 54911(866) 455-8111(920) 883-0491 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 12, 2020, Jan 25, 2016 (2 updates tracked since 2016).

About Staci J Boris Fnp NPPES

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

STACI J BORIS FNP (NPI 1386001154) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (10173) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1386001154
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACI J BORISCredential: FNP
Location Address2500 E CAPITOL DRAppleton, WI 54911-8735
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 454-4229 · Fax (920) 993-5001
Fax(920) 883-0491
Sole ProprietorNo
Enumeration DateJanuary 25, 2016
Last NPPES UpdateOctober 12, 20202 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1386001154 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 · 10173✔ Licensed in MI · 4704210616
2500 E CAPITOL DR, Appleton, WI 54911

Other Names 1

Former Name (1)Staci J Doucette

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 (Family)
2500 E CAPITOL DR
APPLETON, WI 54911
Genetic Counselor, MS
2500 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner (Family)
2500 E CAPITOL DR
APPLETON, WI 54911
Internal Medicine (Hematology & Oncology)
2500 E CAPITOL DR
APPLETON, WI 54911
Genetic Counselor, MS
2500 E CAPITOL DR
APPLETON, WI 54911
Internal Medicine
2500 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner
2500 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner (Family)
2500 E CAPITOL DR
APPLETON, WI 54911

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 Staci Boris's NPI number?

The NPI number for Staci Boris is 1386001154. It was assigned to this individual provider in the NPPES registry on January 25, 2016. The provider is also known as Staci J Doucette.

Where is Staci Boris located?

Staci Boris practices at 2500 E Capitol Dr, Appleton, WI 54911. The listed phone number is (866) 455-8111.

What is Staci Boris's specialty?

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

When was this NPI record last updated?

The NPPES record for Staci Boris was last updated on October 12, 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.