HOLLY STAINER APNP
NPI 1902625809
Nurse Practitioner in Baldwin, WI

Q: What is Holly Stainer's NPI number?

The NPI number for Holly Stainer is 1902625809. It was assigned to this individual provider in the NPPES registry on October 8, 2024. The provider is also known as Holly Dettmering.

Q: What is Holly Stainer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Holly Stainer was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since October 08, 2024PECOS EnrolledAccepts Medicare Assignment

1100 BERGSLIEN ST, BALDWIN, WI 54002(715) 684-1111(715) 684-1119 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 26, 2024, Nov 14, 2024, Oct 8, 2024 (3 updates tracked since 2024).

On this page

About Holly Stainer Apnp NPPES

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

HOLLY STAINER APNP (NPI 1902625809) is an individual nurse practitioner in Baldwin, Wisconsin, licensed in Wisconsin (15748) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System In Red Wing, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902625809

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameHOLLY STAINERCredential: APNP

Location Address1100 BERGSLIEN STBaldwin, WI 54002-2600

Mailing Address1100 Bergslien StBaldwin, WI 54002-2600 · (715) 684-1553 · Fax (715) 684-1119

Phone(715) 684-1111

Fax(715) 684-1119

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 8, 2024

Last NPPES UpdateJanuary 23, 20253 updates tracked since enumeration

NPPES CertifiedDecember 26, 2024

✔ NPI 1902625809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 15748

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.

1100 BERGSLIEN ST, Baldwin, WI 54002

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Other Names 1

Former Name (1)Holly Dettmering

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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

Holly Stainer 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 ID8527592534

PECOS Enrollment IDI20250211000338

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Health System In Red Wing

Acute Care Hospitals · Red Wing, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240018

Location701 Hewitt BoulevardRed Wing, MN 55066 · Goodhue County

Emergency services Birthing friendly

Mayo Clinic Health System-Red Cedar Inc

Critical Access Hospitals · Menomonie, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521340

Location2321 Stout RdMenomonie, WI 54751 · Dunn County

Emergency services

Western Wisconsin Health

Critical Access Hospitals · Baldwin, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521347

Location1100 Bergslien StBaldwin, WI 54002 · St. Croix County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54002 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.

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.

SARAH MICHELLE ANDERSON N.P.

Nurse Practitioner (Family)