1. Home
  2. Directory
  3. Wisconsin
  4. Fort Atkinson
  5. Dentist
  6. NPI Profile

JENNIFER M STAFFORD DDS
NPI 1811151574
Dentist - General Practice in Fort Atkinson, WI

Active since July 11, 2008PECOS Enrolled
201 SHERMAN AVE WEST, FORT ATKINSON, WI 53538(920) 563-7323(920) 563-7612 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer M Stafford Dds NPPES

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

JENNIFER M STAFFORD DDS (NPI 1811151574) is an individual general practice provider in Fort Atkinson, Wisconsin, licensed in Wisconsin (6256) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811151574
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJENNIFER M STAFFORDCredential: DDS
Location Address201 SHERMAN AVE WESTFort Atkinson, WI 53538
Mailing Address201 Sherman Ave WestFort Atkinson, WI 53538 · (920) 563-7323 · Fax (920) 563-7612
Phone(920) 563-7323
Fax(920) 563-7612
Sole ProprietorNo
Enumeration DateJuly 11, 2008
✔ NPI 1811151574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 6256
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
201 SHERMAN AVE WEST, Fort Atkinson, WI 53538
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer M Stafford Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53538 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

JEFFREY A KIND DDS
Dentist (General Practice)
201 SHERMAN AVE WEST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-7323
MICHAEL A BENDER DDS
Dentist (General Practice)
201 SHERMAN AVE WEST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-7323
THOMAS A GOBEL DDS
Dentist (General Practice)
201 SHERMAN AVE WEST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-7323

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 Jennifer Stafford's NPI number?

The NPI number for Jennifer Stafford is 1811151574. It was assigned to this individual provider in the NPPES registry on July 11, 2008.

Where is Jennifer Stafford located?

Jennifer Stafford practices at 201 Sherman Ave West, Fort Atkinson, WI 53538. The listed phone number is (920) 563-7323.

What is Jennifer Stafford's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jennifer Stafford enrolled in Medicare?

Yes. Jennifer Stafford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Stafford was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.