Staci L. Rose, APNP
Nurse Practitioner · Fond Du Lac, WI
Staci L. Rose, APNP is a nurse practitioner with a practice address in Fond Du Lac, Wisconsin, and NPI 1750611448, issued on Jan 4, 2010. Check the license (Wisconsin 3942-33, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Staci L. Rose
- Credential
- APNP
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License number
- 3942-33 WI
Self-reported in NPPES; status is on the state search - Practice location
- 210 Wisconsin American Dr, Fond Du Lac, WI 54937
- Phone
- (920) 907-7000
- Enumerated
- Jan 4, 2010
- Record last updated
- Jan 8, 2024
- Medicaid ID
- 1750611448 WI
- Medicare enrollment
- Enrolled (PECOS I20100312001009); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest nurse practitioner records → All 3,995 in Wisconsin → Look up another NPI →
Also registered at 210 Wisconsin American Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Brianna Anderson, AUDAudiologist1932512522
- Theresa Baseley, NPNurse Practitioner1043279805
- Jennifer BeattiePhysical Therapist1245152800
- Jeremy Bell, DOObstetrics & Gynecology Physician1457339616
- Alicia BirschbachPhysical Therapy Assistant1326609306
- Krystine Breedlove, ACNPC-AGNurse Practitioner1376146910
Verify Staci L. Rose in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 3942-33Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Agnesian Healthcare IncFond Du Lac, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Staci L. Rose among 3,995 nurse practitioner records in Wisconsin
Staci L. Rose, APNP is one of 3,995 nurse practitioner records with a practice address in Wisconsin. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 28% of them.
- NPI issued2010 · 28% of these records are older, 69% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2009 · median 2017 among the 2,701 with a school on file
- Record last updated2024 · 41% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
60 nurse practitioner records list a practice address in Fond Du Lac
They are 60 of the 1,312 NPPES records with a practice address in Fond Du Lac, and 3,995 nurse practitioner records in Wisconsin.
All 3,995 in Wisconsin → Every provider in Fond Du Lac → Nurse Practitioner nationwide →
The 8 nurse practitioner records with the nearest ZIP codes
- Theresa Baseley, NPFond Du Lac, WI 549371043279805
- Krystine Breedlove, ACNPC-AGFond Du Lac, WI 549371376146910
- Rachel Damon, NPFond Du Lac, WI 549371487798070
- Amy Gumieny, NPNorth Fond Du Lac, WI 549371386180362
- Lisa Liedke, APNPFond Du Lac, WI 549371336783042
- Jessica Loehr, NPFond Du Lac, WI 549371841627163
- Jeanne Mossberger, APNPFond Du Lac, WI 549371831489343
- Nichole Nelson, APNPFond Du Lac, WI 549371013530724
Common questions
What is Staci L. Rose, APNP's NPI number?
Staci L. Rose, APNP's National Provider Identifier (NPI) is 1750611448, issued on Jan 4, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Staci L. Rose, APNP located?
The NPPES record lists a practice address at 210 Wisconsin American Dr, Fond Du Lac, WI, 54937. Phone: (920) 907-7000. Providers update this record themselves, so call before visiting.
How can I verify Staci L. Rose, APNP's license?
NPPES lists Wisconsin license number 3942-33, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.