| Tracy Stalter, | |
|
15430 W Capitol Dr, Brookfield, WI 53005-2626 | |
| (262) 421-5133 | |
| (262) 735-0723 |
| Full Name | Tracy Stalter |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 15430 W Capitol Dr, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881451920 | NPI | - | NPPES |
| 100289680 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 15267 (Wisconsin) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Stalter, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Tracy Stalter, 15430 W Capitol Dr, Brookfield, WI 53005-2626 Ph: (262) 421-5133 |
Mrs. Jennifer Hidalgo Hruz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12625 W Burleigh Rd, Brookfield, WI 53005 Phone: 262-777-8482 Fax: 262-333-2142 |
Ms. Lisa M Spannbauer, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2085 N Calhoun Road, Second Floor, Brookfield, WI 53005 Phone: 262-827-9200 Fax: 262-827-8641 |
Elizabeth A Jarecki, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3115 Lilly Rd Unit 209, Brookfield, WI 53005 Phone: 414-530-3460 |
Judith Hummel, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18125 Prairie Falcon Ln, Brookfield, WI 53045 Phone: 262-366-6237 |
Tammy Lynn Albelo, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19475 W North Ave Ste 305, Brookfield, WI 53045 Phone: 262-785-7430 |
Stephanie R Colon, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15430 W Capitol Dr Ste 100, Brookfield, WI 53005 Phone: 262-235-3115 |
Olivia Quade, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15430 W Capitol Dr, Brookfield, WI 53005 Phone: 262-421-5133 |