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NPI · 1457335523 · NPPES-sourced

Dr. Timothy Staacke M.D.

ActivePain Medicine
NPI Number
1457335523
Type 1 · Individual
Taxonomy Code
208VP0014X
Contact
(262) 697-7000
License WI · 39495
Last Updated
Enumerated
Primary practice addressWI · 53142-7884
10400 75th StKenosha, WI 53142-7884
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About this NPIWhat this record shows.

NPI 1457335523 is registered to Dr. Timothy Staacke M.D., a Pain Medicine practising at 10400 75th St in Kenosha, Wisconsin. Pain Medicine is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Timothy Staacke M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Timothy Staacke M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Timothy Staacke M.D. directly at (262) 697-7000.

Frequently asked

Yes. NPI 1457335523 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pain Medicine is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (262) 697-7000.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Timothy Staacke M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy208VP0014X
Last updated
Enumerated
StatusActive
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7 records · same addressOther providers at this location.

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Same specialtyOther Pain Medicine providers in Wisconsin.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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