Brenda Stallbaum, APNP - Medicare Nurse Practitioner in Manitowoc, WI

Brenda Stallbaum, APNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Manitowoc, Wisconsin. Her current practice location is 339 Reed Ave, Manitowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 320-8600.

Brenda Stallbaum is licensed to practice in Wisconsin (license number 7373-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124565882.

Contact Information

Brenda Stallbaum, APNP
339 Reed Ave,
Manitowoc, WI 54220-2020
(920) 320-8600
Not Available



Provider's Profile

Full NameBrenda Stallbaum
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location339 Reed Ave, Manitowoc, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124565882
  • Provider Enumeration Date: 01/19/2017
  • Last Update Date: 06/21/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5193085322
  • Enrollment ID: I20180208002511

Medical Identifiers

Medical identifiers for Brenda Stallbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124565882NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 7373-33 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda Stallbaum is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brenda Stallbaum, APNP
Po Box 2290,
Manitowoc, WI 54221-2290

Ph: (920) 320-2591
Brenda Stallbaum, APNP
339 Reed Ave,
Manitowoc, WI 54220-2020

Ph: (920) 320-8600

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Nurse Practitioner Nurses in Manitowoc, WI

Barbara J Backus, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1650 S 41st St, Manitowoc, WI 54220
Phone: 920-320-4500    Fax: 920-682-9378
Jessica L Lietzan, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1650 S 41st St, Manitowoc, WI 54220
Phone: 920-320-2436    
Veronica Mcfarlane, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1650 S 41st St, Manitowoc, WI 54220
Phone: 920-320-2436    
Angela R Vandewettering, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1111 Bayshore Dr, Manitowoc, WI 54220
Phone: 920-682-6376    
Andrew Allen Malkowski, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 926 S 8th St, Manitowoc, WI 54220
Phone: 920-683-4230    Fax: 920-683-4902
Nicole Amber Meissner, AGNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2409 S Alverno Rd, Manitowoc, WI 54220
Phone: 920-901-4420    Fax: 920-682-4243

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