Stacy Boden, NP
NPI 1124250063 · Pediatric Nurse Practitioner · West Bend, WI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacy Boden, NP is a Pediatric Nurse Practitioner provider in West Bend, WI (NPI 1124250063).
Provider details
- NPI number
- 1124250063
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 144166 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-08-11
- Last updated
- 2009-08-11
Frequently asked questions
- What is Stacy Boden's NPI number?
- Stacy Boden's National Provider Identifier (NPI) is 1124250063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Boden's specialty?
- Stacy Boden is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stacy Boden located?
- Stacy Boden's practice location on file with NPPES is 3200 Pleasant Valley Rd, West Bend, WI 53095-9274.
- What is Stacy Boden's phone number?
- The practice phone number listed in the NPPES registry for Stacy Boden is (262) 334-3451.
- Does Stacy Boden accept Medicare?
- Stacy Boden is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacy Boden's NPI active?
- Yes — Stacy Boden's NPI (1124250063) is active in the NPPES registry as of the last update on 2009-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.