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STELLAR CARE
NPI 1750958104
Clinic/Center in Milwaukee, WI

Active since June 04, 2021
10625 W NORTH AVE STE 230, MILWAUKEE, WI 53226(414) 249-5698(320) 207-5719 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2024, May 10, 2024, Jan 1, 2024 and 4 more (7 updates tracked since 2021).

About Stellar Care NPPES

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

STELLAR CARE (NPI 1750958104) is a healthcare organization registered as a clinic/center in Milwaukee, Wisconsin and active in the NPI registry since June 2021. The organization lists Shanna Marie Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1750958104
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSTELLAR CARE LLC
Location Address10625 W NORTH AVE STE 230Milwaukee, WI 53226-2315
Mailing Address10625 W North Ave Ste 230Wauwatosa, WI 53226-2315 · (414) 249-5698 · Fax (320) 207-5719
Phone(414) 249-5698
Fax(320) 207-5719
Organization SubpartNo
Authorized OfficialShanna Marie JohnsonPresident · (414) 573-0179
Enumeration DateJune 4, 2021
Last NPPES UpdateMay 30, 20247 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1750958104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
10625 W NORTH AVE STE 230, Milwaukee, WI 53226
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Other Names 1

Doing Business AsStellar Care

Other Identifiers 1

Medicaid1386940575WI

Other Providers at the Same Location NPPES 2

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

MS. SHANNA MARIE JOHNSON NP
Nurse Practitioner (Family)
10625 W NORTH AVE STE 230
MILWAUKEE, WI 53226
Milwaukee County (414) 249-5698
RAVI GUPTA,M.D.,S.C.
Family Medicine
10625 W NORTH AVE STE 230
WAUWATOSA, WI 53226
Milwaukee County (414) 475-5800

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 Stellar Care LLC's NPI number?

The NPI number for Stellar Care LLC is 1750958104. It was assigned to this organization in the NPPES registry on June 4, 2021. The provider is doing business as Stellar Care.

Where is Stellar Care LLC located?

Stellar Care LLC is located at 10625 W North Ave Ste 230, Milwaukee, WI 53226. The listed phone number is (414) 249-5698.

What is Stellar Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Stellar Care LLC was last updated on May 30, 2024. 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.