Gideon Jacob Stein, PMHNP
NPI 1770281461ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Fond Du Lac, WI
Nurse Practitioner, Psych/Mental Health (PMHNP) with Agnesian Healthcare Inc, practicing in Fond Du Lac, Wisconsin. Part D covered 26 prescriptions written in 2024, 96% of them generic.
Overview
| NPI | 1770281461 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP |
| Sole proprietor | No |
| NPI issued | Feb 21, 2023 |
| Last updated in NPPES | Apr 10, 2023 |
| Certified by provider | Apr 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 13626-33 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 26 · 31 30-day fills |
|---|---|
| Total drug cost | $743.56 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Agnesian Healthcare IncWaupun, WI · 388 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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