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MRS. STACEY ALLYSUN SULLIVAN APNP
NPI 1750861969
Nurse Practitioner in Milwaukee, WI

Active since August 16, 2018
59.4/100
CMS Quality Rating
2801 W KINNICKINNIC RIVER PKWY STE 260, MILWAUKEE, WI 53215(414) 649-6780(414) 649-6030 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2021, Mar 19, 2020, Sep 24, 2018 and 1 more (4 updates tracked since 2018).

About Mrs. Stacey Allysun Sullivan Apnp NPPES

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

MRS. STACEY ALLYSUN SULLIVAN APNP (NPI 1750861969) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in Wisconsin (8624) and active in the NPI registry since August 2018. She maintains a secondary practice location in Summit.

NPPES Registry Identity

NPI1750861969
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. STACEY ALLYSUN SULLIVANCredential: APNP
Location Address2801 W KINNICKINNIC RIVER PKWY STE 260Milwaukee, WI 53215-3631
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 649-6780 · Fax (414) 649-6030
Phone(414) 649-6780
Fax(414) 649-6030
Sole ProprietorNo
Enumeration DateAugust 16, 2018
Last NPPES UpdateNovember 24, 20214 updates tracked since enumeration
NPPES CertifiedNovember 24, 2021
✔ NPI 1750861969 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 · 8624
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 197066 (WI)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 8624 (WI)
2801 W KINNICKINNIC RIVER PKWY STE 260, Milwaukee, WI 53215
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Other Names 1

Former Name (1)Stacey Allysun Lansdowne

Secondary Practice Location 1

Location 136500 Aurora DrSummit, WI 53066-4899 · Phone (602) 214-8834

Other Identifiers 1

Medicaid100080881WI

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.

59.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality19.61
Promoting Interoperability100
Improvement Activities20
Cost70.07

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESTIN KNIGGE
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY STE 260
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6780
DR. SYED BASIT HAIDER MBBS
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2801 W KINNICKINNIC RIVER PKWY STE 260
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6780
STACY LYNN BARRON RN
Registered Nurse (Diabetes Educator)
2801 W KINNICKINNIC RIVER PKWY STE 260
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6780
JOLITA SATKUS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2801 W KINNICKINNIC RIVER PKWY STE 260
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6780
TATIANA ZALDUA RD
Dietitian, Registered
2801 W KINNICKINNIC RIVER PKWY STE 260
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6780
MARIA T SARANDOS APNP
Nurse Practitioner
2801 W KINNICKINNIC RIVER PKWY STE 260
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6780
KATRINA E BLETHEN APN-CNP
Nurse Practitioner
2801 W KINNICKINNIC RIVER PKWY STE 260
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6780
LAURA R FOLGER NP
Nurse Practitioner (Family)
2801 W KINNICKINNIC RIVER PKWY STE 260
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6780

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 Stacey Sullivan's NPI number?

The NPI number for Stacey Sullivan is 1750861969. It was assigned to this individual provider in the NPPES registry on August 16, 2018. The provider is also known as Stacey Allysun Lansdowne.

Where is Stacey Sullivan located?

Stacey Sullivan practices at 2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215. The listed phone number is (414) 649-6780.

What is Stacey Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Stacey Sullivan was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.