STACEY L GUSMAN APNP
NPI 1851556658
Nurse Practitioner - Family in Owen, WI

Active since July 22, 2008PECOS EnrolledAccepts Medicare Assignment
83.72/100
CMS Quality Rating
6 JOHNSON ST, OWEN, WI 54460(715) 229-2177(715) 229-4450 Get Directions Write a Review

NPPES record last updated: October 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey L Gusman Apnp NPPES

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

STACEY L GUSMAN APNP (NPI 1851556658) is an individual family provider in Owen, Wisconsin, licensed in Wisconsin (3467) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2012).

NPPES Registry Identity

NPI1851556658
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY L GUSMANCredential: APNP
Location Address6 JOHNSON STOwen, WI 54460-9534
Mailing Address6 Johnson StOwen, WI 54460-9534 · (715) 229-2177 · Fax (715) 229-4450
Fax(715) 229-4450
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2012
Enumeration DateJuly 22, 2008
Last NPPES UpdateOctober 1, 2009
NPI 1851556658 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
License Licensed in WI · 3467
6 JOHNSON ST, Owen, WI 54460

Other Identifiers 5

Medicare PIN360450074WI
Other3467WI · Wi License
Medicaid1851556658WI
Medicare PIN11068-0016WI
Medicare PIN12075-0011WI

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

Stacey L Gusman Apnp 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 ID6709944895
PECOS Enrollment IDI20081017000494
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services101 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
114 services79 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.
106 services106 patients

Hospital Affiliations CMS Care Compare 2

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

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521324
Location135 S Gibson StMedford, WI 54451 · Taylor County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54460 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 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims31 services$5.32 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier13 claims25 services$0.93 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers38 claims38 services$23.47 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier19 claims19 services$24.80 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers62 claims62 services$99.84 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims1,841 services$0.04 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 4

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

Nurse Practitioner (Family)
6 JOHNSON ST
OWEN, WI 54460
Nurse Practitioner (Family)
6 JOHNSON ST
OWEN, WI 54460
Nurse Practitioner (Family)
6 JOHNSON ST
OWEN, WI 54460
Clinic/Center (Rural Health)
6 JOHNSON ST
OWEN, WI 54460

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 Gusman's NPI number?

The NPI number for Stacey Gusman is 1851556658. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Where is Stacey Gusman located?

Stacey Gusman practices at 6 Johnson St, Owen, WI 54460. The listed phone number is (715) 229-2177.

What is Stacey Gusman's specialty?

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

Is Stacey Gusman enrolled in Medicare?

Yes. Stacey Gusman 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 Stacey Gusman accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Stacey Gusman 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 Stacey Gusman affiliated with any hospitals?

According to CMS data, Stacey Gusman is affiliated with Aspirus Wausau Hospital and Aspirus Medford Hospital & Clinics, Inc.

When was this NPI record last updated?

The NPPES record for Stacey Gusman was last updated on October 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.