Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Allison L Stallbohm, APNP

Individual provider Nurse Practitioner · NPI 1619223146

Allison L Stallbohm, APNP is a Nurse Practitioner in Appleton, Wisconsin. Qualified in 2012, 14 years ago. Practices with Ascension Medical Group-Fox Valley Wisconsin, Inc, a 260-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2012
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Practice location Address checks out

1501 S Madison St
Appleton, WI 54915-1846
Phone: (920) 730-4414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 144714 (WI)

Record details

NPI number1619223146
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedAugust 2, 2012
Last updated in NPPESMay 14, 2021
Certification dateMay 14, 2021
Mailing address1501 S Madison St, Appleton, WI 54915-1846

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ascension Medical Group-Fox Valley Wisconsin, Inc — 260 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Appleton