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

Staci L Rose, APNP

Individual provider Nurse Practitioner · NPI 1750611448

Staci L Rose, APNP is a Nurse Practitioner in Fond Du Lac, Wisconsin. Qualified in 2009, 17 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
17
Licensed in
WI
In the registry since
2010
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Practice location Address checks out

210 Wisconsin American Dr
Fond Du Lac, WI 54937-2999
Phone: (920) 907-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 502 W Water St, Princeton, WI 54968-9141 — (920) 295-6432

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3942-33 (WI)

Record details

NPI number1750611448
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJanuary 4, 2010
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fond Du Lac