Dr Christina Marie Stallard, DNP is a medicare enrolled "Nurse Practitioner" in Hales Corners, Wisconsin. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Acs Wounds Llc, Bsh, Sc and her current practice location is
5250 S 108th St Ste 150, Hales Corners, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 400-9375.
Dr Christina Marie Stallard is licensed to practice in Wisconsin (license number 15619) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1508604943.
Provider's Profile
| Full Name | Dr Christina Marie Stallard |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 2 Years |
|---|
| Location | 5250 S 108th St Ste 150, Hales Corners, Wisconsin |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Christina Marie Stallard graduated from nursing school in 2024
NPI Data:
- NPI Number: 1508604943
- Provider Enumeration Date: 07/18/2024
- Last Update Date: 05/28/2026
Medicare PECOS Information:
- PECOS PAC ID: 9638610108
- Enrollment ID: I20240924002998
Medical Identifiers
Medical identifiers for Dr Christina Marie Stallard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508604943 | NPI | - | NPPES |
| 100289785 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 15619 (Wisconsin) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | 15619-33 (Wisconsin) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Acs Wounds Llc | 0547626228 | 9 |
| Bsh, Sc | 4082996954 | 11 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Christina Marie Stallard allows following entities to bill medicare on her behalf.
| Entity Name | Aurora Medical Group, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
|---|
| Entity Name | Woundmd Wi Sc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1134928526
PECOS PAC ID: 1052833795
Enrollment ID: O20250321002596 |
|---|
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. Dr Christina Marie Stallard 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 Address | Practice Location Address |
|---|
Dr Christina Marie Stallard, DNP
5250 S 108th St Ste 150,
Hales Corners, WI 53130-0017
Ph: (414) 400-9375 | Dr Christina Marie Stallard, DNP
5250 S 108th St Ste 150,
Hales Corners, WI 53130-0017
Ph: (414) 400-9375 |
Reviews and Comments