MRS. STACIE M VALUKAS (NP-C) – Nurse Practitioner, NPI 1477995876
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. STACIE M VALUKAS (NP-C)
517 VIRGINIA ST
ANTIGO, WI 544092253
Phone: (715) 350-4354
Type: Mailing
112 E 5TH AVE
ANTIGO, WI 544092710
Phone: (715) 623-2331
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
112 E 5th Ave
Antigo, WI 544092710
Phone: (715) 623-2331
Type: Location
3301 W FOREST HOME AVE
MILWAUKEE, WI 532152843
Phone: (920) 907-7000
Fax: (920) 907-7021
Type: Mailing
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 549372999
Phone: (920) 907-7000
Fax: (920) 907-7021
Type: Location
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-09-25
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20130925000696 | 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 54409)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | WI | |
| - | NC | |
| - | WI | |
| N E U R O L O G Y | IL | |
| - | PA | |
| - | WI | |
| - | WI |
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