MARY JO STASTNY (MD) – Internal Medicine Physician, NPI 1073533402

MARY JO STASTNY (MD) is a healthcare provider. based in Appleton, Wisconsin. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 27088 (WI). The NPI Number for MARY JO STASTNY (MD) is 1073533402

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
MARY JO STASTNY (MD)
NPI
1073533402
Phone
(920) 831-7919
Address
10 TRI PARK WAY
Enumeration Date
20 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
9202232000
Graduation Year
1984 (42 years ago)
PAC ID
9032391495
Group Practice PAC ID
0244142420
Professional Enrollment ID
I20110308000032
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for MARY JO STASTNY (MD)

  • John Bradley VA Clinic, 10, Tri Park Way, Appleton, Town of Grand Chute, Outagamie County, Wisconsin, 54914, United States

    APPLETON, WI 549141658

    Phone: (920) 831-7919

    Fax: (920) 831-7939

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 54914)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244142420View full group profile
NameSpecialtyState
YAW D BERKO (MD)
Hospitalist, Internal MedicineMI
DEIDRE A FLANAGAN (MD)
General SurgeryWI
ERIN MAE JOHNSON (PA-C)
-WI
ANNEMARIE UPHUS (APNP, PMHNP-BC, CNM)
Nurse PractitionerWI
MS. CYNTHIA FRANCES SUSEDIK (D.O.)
-IL
JOSEPH NEILITZ (DO)
O P H T H A L M O L O G YWI
MRS. SUSAN GAYLE HIBBS (MD)
-OH
DOUGLAS B HORAN (MD)
-WI
JAMES W SMRECEK (MD)
-WI
MARK W FAUSTICH (MD)
-WI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify MARY JO STASTNY (MD) for billing?
Administrative and clinical systems typically use NPI 1073533402 for MARY JO STASTNY (MD).
Quick check: is MARY JO STASTNY (MD) active?
Public NPPES data shows MARY JO STASTNY (MD) with an active NPI status right now.
What type of care does MARY JO STASTNY (MD) provide?
MARY JO STASTNY (MD)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARY JO STASTNY (MD)?
MARY JO STASTNY (MD) is associated with Appleton, Wisconsin in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

MICHAEL L HOOKER (D.O.)

Hospitalist Physician
Neenah Center, Menasha, Winnebago County, Wisconsin, 54956, United States
NPI: 1689679953

DEBORAH A IHDE (MD)

Internal Medicine Physician
820, East Grant Street, Huntley Houses, Appleton, Outagamie County, Wisconsin, 54911, United States
NPI: 1053317594

DR. SAMPOORNIMA SETTY (M.D.)

Interventional Cardiology Physician
1818 N Meade St # A
NPI: 1851398283

DR. KAY ELLEN THEYERL (M.D.)

Internal Medicine Physician
PO BOX 8003
NPI: 1669473674

RODNEY JARRETT BEASLEY (MD)

6600 S YALE AVE STE 1400
NPI: 1023019304

DR. CURTIS COULTER BALTZ (MD)

Internal Medicine Physician
122, East College Avenue, Appleton, Outagamie County, Wisconsin, 54911, United States
NPI: 1316939325

DR. DOUGLAS P CALVIN (M.D.)

Radiation Oncology Physician
North Ballard Road, Apple Creek, Appleton, Outagamie County, Wisconsin, 54913, United States
NPI: 1780677906

KARL E BAUM (MD)

Hospitalist Physician
1506 S Oneida St
NPI: 1497749402