BRENDA STALLBAUM (APNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124565882

Psychiatric/Mental Health Nurse Practitioner

BRENDA STALLBAUM (APNP) is a healthcare provider. based in Manitowoc, Wisconsin. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials APNP. They hold a License No. 7373-33 (WI). The NPI Number for BRENDA STALLBAUM (APNP) is 1124565882

Main info

Female

10 Years Of Experience

Accepts Medicare Assignment

Name

BRENDA STALLBAUM (APNP)

NPI

1124565882

Phone

(920) 320-8600

Address

339 REED AVE

Enumeration Date

19 January 2017

Last Update Date

21 June 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9203208600

Graduation Year

2016 (10 years ago)

PAC ID

5193085322

Group Practice PAC ID

0648183160

Professional Enrollment ID

I20180208002511

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience32

Completeness75

Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for BRENDA STALLBAUM (APNP)

339, Reed Avenue, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542202020
Phone: (920) 320-8600
Type: Location
PO BOX 2290
MANITOWOC, WI 542212290
Phone: (920) 320-2591
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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 54220)

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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: 0648183160View full group profile

Name	Specialty	State
VLADIMIR N SWERCHOWSKY (MD)	-	WI
REBECCA M REIM (MD)	-	WI
Unknown Individual	-	WI
KAREN H NELSON (M.D.)	-	WI
LAURENCE J VERLINDEN (M.D.)	-	WI
Unknown Individual	-	WI
MICHAEL BYRON MCCORMICK (M.D.)	-	WI
MICHAEL E HIEBERT (MD)	-	WI
SUZANNE M RILEY (M.D.)	-	WI
CALLIE SCHROEDER (PSYD)	-	WI

Reviews

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Frequently asked questions

Can I use this page to confirm BRENDA STALLBAUM (APNP)'s NPI?

Yes. BRENDA STALLBAUM (APNP) is listed with NPI 1124565882 in the public NPI dataset.

Does the file indicate BRENDA STALLBAUM (APNP) is practicing under active NPI?

Directory data currently reports BRENDA STALLBAUM (APNP) as active.

What is BRENDA STALLBAUM (APNP) best known for clinically?

Directory data describes BRENDA STALLBAUM (APNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What area does BRENDA STALLBAUM (APNP) serve?

BRENDA STALLBAUM (APNP)'s listing highlights Manitowoc, Wisconsin; more addresses can appear in NPPES.

Why does BRENDA STALLBAUM (APNP) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.