| Ms Stephanie Louise Mickley, FNP-C | |
|
151 W High St Lowr Level, Morris, IL 60450-1407 | |
| (815) 941-9320 | |
| Not Available |
| Full Name | Ms Stephanie Louise Mickley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 151 W High St Lowr Level, Morris, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063026581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.021919 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Perry Memorial Hospital | Princeton, IL | Hospital |
| Osf Saint Paul Medical Center | Mendota, IL | Hospital |
| Osf Saint Lukes Medical Center | Kewanee, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Morris Hospital | 1850372459 | 104 |
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stephanie Louise Mickley, FNP-C 530 Park Ave E Ste 207, Princeton, IL 61356-3902 Ph: (815) 875-8666 | Ms Stephanie Louise Mickley, FNP-C 151 W High St Lowr Level, Morris, IL 60450-1407 Ph: (815) 941-9320 |
Amy Lynn Staker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Gore Rd, Morris, IL 60450 Phone: 815-364-8919 | |
Jammie Vickers, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1802 N Division St Ste 701, Morris, IL 60450 Phone: 815-942-5790 | |
Mrs. Diane Marie Zuelke, ANP-FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1802 N Division St Ste 703, Morris, IL 60450 Phone: 815-941-8000 Fax: 815-705-1712 | |
Dr. Kelly Rae Lesemann, D.C. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 W Jefferson St, Morris, IL 60450 Phone: 815-942-8399 Fax: 815-942-8388 | |
Brian R. Czapko, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1715 N Division St Ste 4d5e, Morris, IL 60450 Phone: 815-431-3410 Fax: 815-431-3411 | |
Mrs. Sherese A Pruss, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 W High St Lowr Level, Morris, IL 60450 Phone: 815-705-1000 Fax: 815-705-2709 |