Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stacy Leigh Mohr, MD

Individual provider Family Medicine Physician · NPI 1770877664

Dr. Stacy Leigh Mohr, MD is a Family Practice in Kaukauna, Wisconsin. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2011, 15 years ago. Practices with Kaukauna Clinic, SC, an 8-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
15
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
WI
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

305 E 12th St
Kaukauna, WI 54130-2865
Phone: (920) 766-4656
Fax: (920) 766-4659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 62695-20 (WI)

Record details

NPI number1770877664
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2011
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Kaukauna Clinic, S.C. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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