NATHAN JOHN STOCCO (PA) – Physician Assistant, NPI 1649794991

NATHAN JOHN STOCCO (PA) is a healthcare provider. based in Lancaster, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 088418 (IA). The NPI Number for NATHAN JOHN STOCCO (PA) is 1649794991

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN JOHN STOCCO (PA)
NPI
1649794991
Phone
(608) 723-2131
Address
507 S MONROE ST
Enumeration Date
28 July 2017
Last Update Date
25 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087232131
Graduation Year
2017 (9 years ago)
PAC ID
5890060933
Group Practice PAC ID
9638079445
Professional Enrollment ID
I20190401000363
Address ID
WI538132054LA507XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

3,703 PHYSICIAN ASSISTANT in WI

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Provider Addresses for NATHAN JOHN STOCCO (PA)

  • Grant Regional Health Center, 507, South Monroe Street, Lancaster, Grant County, Wisconsin, 53813, United States

    LANCASTER, WI 538132054

    Phone: (608) 723-2131

    Fax: (608) 723-2707

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $270.

Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($142).

Total Amount

$270

General + Research + Ownership

Payments

7

Total payment records

General Amount

$270

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-04-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190401000363IPhysician AssistantWITBD

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.

Verify on CMS Revalidation Lookup Tool

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 53813)

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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: 9638079445View full group profile
NameSpecialtyState
Nurse PractitionerWI
-WI
Certified Registered Nurse Anesthetist (Crna)WI
General SurgeryWI
Physical Therapist In Private PracticeWI
Hospitalist, Family PracticeWI
Certified Registered Nurse Anesthetist (Crna)IA
O T O L A R Y N G O L O G YIL
Physical Therapist In Private PracticeWI
Pain ManagementWI

Reviews

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Frequently asked questions

Can I cross-check NATHAN JOHN STOCCO (PA) using NPI 1649794991?
NPI 1649794991 belongs to NATHAN JOHN STOCCO (PA); compare other details if you need extra assurance.
Is there an active status for NATHAN JOHN STOCCO (PA)?
For scheduling context, NATHAN JOHN STOCCO (PA) is shown as active in the registry.
What kind of doctor is NATHAN JOHN STOCCO (PA)?
NATHAN JOHN STOCCO (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for NATHAN JOHN STOCCO (PA)?
Travel planning: use Lancaster, Wisconsin as the reference point for NATHAN JOHN STOCCO (PA), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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