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

Sara Stiller

Individual provider Nurse Practitioner · NPI 1558143073

Sara Stiller is a Nurse Practitioner in Mequon, Wisconsin. Qualified in 2023, 3 years ago. Practices with Watertown Family Practice Associates, SC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

12203 Corporate Pkwy
Mequon, WI 53092-3388
Phone: (262) 387-8200
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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 14710 (WI)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence 104239857 (WI)

Record details

NPI number1558143073
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 18, 2023
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Watertown Family Practice Associates, Sc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mequon