Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Stacie A Ebben , NP

Nurse Practitioner โ€ข Appleton, WI

Active NPI 1326769498 Individual Practitioner Female Practitioner
Practice location in NPPES

3925 N Gateway Dr
Appleton, WI 549137863

Call 9208306877 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3925 N Gateway Dr

Appleton, WI 549137863

Telephone 9208306877
Organization at the Same NPPES Address or Phone
Fox Valley Hematology & Oncology, S.c. Facility NPI 1407868334

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare patients

53 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $3,819 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $2,351 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

135 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$651 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Stacie Ebben has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Stacie Ebben as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Appleton and Wisconsin

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Appleton, WI (2024, 77 clinicians with data). Median for this group: 168. Middle half: 72 to 355.

Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: 185. Middle half: 82 to 369.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Appleton, WI (2024, 77 clinicians with data). Median for this group: $10,111. Middle half: $5,993 to $21,212.

A lower Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: $13,707. Middle half: $6,114 to $26,154.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Appleton, WI (2024, 77 clinicians with data). Median for this group: $7,624. Middle half: $4,308 to $15,546.

A lower Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: $10,011. Middle half: $4,480 to $19,097.

Medicare Part D prescriptions

Fewer Part D prescriptions than 70% of clinicians listed under Nurse Practitioner in Appleton, WI (2024, 88 clinicians with data). Median for this group: 456. Middle half: 90 to 1,100.

Fewer Part D prescriptions than 70% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,202 clinicians with data). Median for this group: 327. Middle half: 90 to 1,325.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Appleton, WI (2024, 88 clinicians with data). Median for this group: $12,751. Middle half: $697 to $103,869.

A lower Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,202 clinicians with data). Median for this group: $17,831. Middle half: $1,191 to $147,074.

155 active clinicians are listed under Nurse Practitioner with a practice address in Appleton, WI (3,995 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

6.5% of these 155 clinicians have the CMS telehealth indicator.

60.6% of these 155 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
37 37 $263.00 $72.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $389.80 $102.73

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Prednisone Prednisone 32 241 $69.98 32
Pantoprazole Sodium Pantoprazole Sodium 18 630 $88.40 โ€”
Cephalexin Cephalexin 15 104 $64.82 15
Amlodipine Besylate Amlodipine Besylate 15 1,350 $90.66 โ€”
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 11 89 $87.78 11
Albuterol Sulfate Hfa Albuterol Sulfate 11 179 $248.96 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES WI 13149-33

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES WI 235881-30

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES WI 13149
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20221019002645

Enrollment State Jurisdiction

WI

PECOS Control ID

2365818176

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

26 listed
Amanda Barnes , PA-C

Physician Assistant

NPI 1336481308

Physician Assistant (Certified)

Elizabeth Barthel

Nurse Practitioner - Family

NPI 1003318437
Abbey Buchberger , APNP

Nurse Practitioner - Family

NPI 1386261618

Advanced Practice Nurse Prescriber

Tara Burich , FNP-C

Nurse Practitioner - Family

NPI 1780044347

Family Nurse Practitioner (Certified)

Cheryl Christensen , APNP

Nurse Practitioner

NPI 1215556824

Advanced Practice Nurse Prescriber

Elizabeth Dickenson , FNP-BC

Nurse Practitioner - Family

NPI 1962193508

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ‘ค
Provider Name / Credentials Updated October 13, 2025

Recorded as STACIE EBBEN, NP

๐Ÿ‘ค
Provider Name / Credentials Updated October 05, 2022

Recorded as STACIE MOORE, NP

โœ…
NPI Profile Active September 07, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 07, 2022

Registered at 3925 N GATEWAY DR, APPLETON, WI 549137863 (Tel: 9208306877)

๐Ÿ“
Business Mailing Address (Initial Record) September 07, 2022

Registered at N535 THELOSEN DR, APPLETON, WI 549155507

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 07, 2022

Recorded as STACIE MOORE

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2022

Registered Nurse (license number reported to NPPES: WI 235881-30)

๐ŸŸข
Initial NPI Registration & Enumeration September 07, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1326769498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2022
Last Update: October 13, 2025
Sole Proprietor: No

Other Nurse Practitioners in Appleton

All Nurse Practitioners in Appleton

Mailing Address

N535 Thelosen Dr

Appleton, WI 549155507

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.