STACEY C WARNEKE (APNP) – Nurse Practitioner, NPI 1063654465
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 NURSE PRACTITIONER in WI
Provider Addresses for STACEY C WARNEKE (APNP)
1900 N DEWEY AVE
REEDSBURG, WI 539592214
Phone: (608) 524-6487
Type: Mailing
19550, East 39th Street South, Selsa, Independence, Jackson County, Missouri, 64057, United States
SUITE 335
INDEPENDENCE, MO 640572303
Phone: (816) 350-0005
Fax: (816) 350-0015
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $295.
Total Amount is formed as General ($295) + Research ($0) + Ownership ($0) = $295.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($90).
Total Amount
$295
General + Research + Ownership
Payments
15
Total payment records
General Amount
$295
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $90 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $86 |
| Novo Nordisk Inc | $42 |
| Abbott Laboratories | $42 |
| Dexcom, Inc. | $35 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-12-07
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171207000930 | I | Nurse Practitioner | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53959)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| O P H T H A L M O L O G Y | WI | |
| General Surgery | WI | |
| Family Practice | WI | |
| Physician Assistant | WI | |
| Nurse Practitioner | KS | |
| Certified Nurse Midwife (Cnm) | WI | |
| - | WI |
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