CINDY A STIPPICH CNM
NPI 1659366821
Midwife in Beaver Dam, WI


Quality Rating: 69.27 out of 100 score

NPI Status: Active since September 14, 2005

Contact Information

705 S UNIVERSITY AVE
SUITE 300
BEAVER DAM, WI
ZIP 53916
Phone: (920) 885-6090

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 30
  • Midwife
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About CINDY STIPPICH

This page provides the complete NPI Profile along with additional information for Cindy Stippich, a provider established in Beaver Dam, Wisconsin with a medical specialization in Midwife and more than 30 years of experience. The healthcare provider is registered in the NPI registry with number 1659366821 assigned on September 2005. The practitioner's primary taxonomy code is 176B00000X with license number 75731 (WI). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1659366821
Provider Name
CINDY A STIPPICH CNM
Gender
Female
Entity Type
Individual
Location Address
705 S UNIVERSITY AVE SUITE 300 BEAVER DAM, WI 53916
Location Phone
(920) 885-6090
Mailing Address
705 S UNIVERSITY AVE SUITE 300 BEAVER DAM, WI 53916
Mailing Phone
(920) 885-6090
Medical School Name
OTHER
Graduation Year
1996
Is Sole Proprietor?
No
Enumeration Date
09-14-2005
Last Update Date
11-17-2022
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Midwife

Taxonomy Code
176B00000X
Type
Other Service Providers
License No.
75731
License State
WI
Taxonomy Description
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Robin Oak $1,000 Gold - PPO
  • Robin Oak $1,500 Standard Gold - PPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Bronze Plus - HMO
  • Prestige Gold - HMO
  • Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
  • Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Silver - HMO
  • Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Signature Prestige Bronze $0 Deductible + Dental + Vision - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
  • Enrich $1,500 - 25% - HMO
  • Enrich $3,500 - 30% - HMO
  • Enrich $4,100 HDHP - HMO
  • Enrich $5,000 - 40% - HMO
  • Enrich $6,200 HDHP - HMO
  • Enrich $7,500 - HMO
  • Enrich $9,200 - HMO
  • Enrich Protection - HMO
  • Premier $1,500 - 25% - HMO
  • Premier $3,500 - 30% - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
39906100MEDICAID (05)WI 

Medicare Participation & PECOS Enrollment Status

Cindy Stippich is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Cindy Stippich is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3577661263

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070604000443

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 69.27, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 69.27 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 67.84

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 56.51

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 56.51

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Cindy Stippich is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD)707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
(920) 887-7181Acute Care Hospitals

Reviews for CINDY A STIPPICH CNM

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659366821
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26109661284
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 6 + 6 + 1 + 2 + 8 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1659366821 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487605937 DOUGLAS J CRONIN PA-C
Individual
Physician Assistant705 S UNIVERSITY AVE STE 510
BEAVER DAM, WI 53916
(920) 887-3102
1164473591 MARIE A BERRY APNP
Individual
Nurse Practitioner705 S UNIVERSITY AVE STE 510
BEAVER DAM, WI 53916
(920) 887-3102
1144271677 EDWARD F CODY MD
Individual
Family Medicine705 S UNIVERSITY AVE STE 510
BEAVER DAM, WI 53916
(920) 887-3102
1003835778 TODD M SCHNEIDER OD
Individual
Optometrist705 S UNIVERSITY AVE SUITE 100
BEAVER DAM, WI 53916
(920) 887-1151
1053330712 GEORGE E DAVIS MD
Individual
Ophthalmology705 S UNIVERSITY AVE SUITE 100
BEAVER DAM, WI 53916
(920) 887-1151
1124128228 LYNN R SWIGGUM A.T.C., L.A.T.
Individual
Specialist705 S UNIVERSITY AVE SUITE 150
BEAVER DAM, WI 53916
(920) 885-2663
1134314362WILSON H LUY TAN, MD LTD
Organization
Psychiatry & Neurology (Neurology)705 S UNIVERSITY AVE SUITE 380
BEAVER DAM, WI 53916
(920) 887-3460
1134301708 SUSAN LORRAINE SUTTER R.PH.
Individual
Pharmacist705 S UNIVERSITY AVE SUITE 180
BEAVER DAM, WI 53916
(920) 356-0040
1578845202 PEGGY A KATSMA NP
Individual
Nurse Practitioner705 S UNIVERSITY AVE SUITE 200
BEAVER DAM, WI 53916
(920) 887-9272
1871847731 RONAY BJERKE
Individual
Pharmacist705 S UNIVERSITY AVE SUITE 180
BEAVER DAM, WI 53916
(920) 356-0040
1467447649DR. MARY F OSTERMANN M.D.
Individual
Obstetrics & Gynecology705 S UNIVERSITY AVE SUITE 300
BEAVER DAM, WI 53916
(920) 885-6090
1710121215 JOHN E LAMBERT DO
Individual
Family Medicine705 S UNIVERSITY AVE SUITE 200
BEAVER DAM, WI 53916
(920) 887-9272
1366554487EXCEL ORTHOPEDICS, LTD.
Organization
Orthopaedic Surgery705 S UNIVERSITY AVE STE 150
BEAVER DAM, WI 53916
(920) 885-2663
1497706949 CHARLES W FRINAK MD
Individual
Family Medicine705 S UNIVERSITY AVE STE 400
BEAVER DAM, WI 53916
(920) 887-3102
1124033758MARSHLAND PHARMACIES INC
Organization
Pharmacy (Community/Retail Pharmacy)705 S UNIVERSITY AVE
BEAVER DAM, WI 53916
(920) 356-0040
1538110952 TIMOTHY J RENTMEESTER MD
Individual
Family Medicine705 S UNIVERSITY AVE STE 510
BEAVER DAM, WI 53916
(920) 887-3102
1831549005DR. NATALIE ROSS DNP, FNP-BC, RN
Individual
Nurse Practitioner (Family)705 S UNIVERSITY AVE SUITE 300
BEAVER DAM, WI 53916
(920) 885-6090
1073575064UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
Organization
Durable Medical Equipment & Medical Supplies705 S UNIVERSITY AVE SUITE 200
BEAVER DAM, WI 53916
(920) 887-9272
1770534208 MICHAEL K AUGUSTSON MD
Individual
Family Medicine705 S UNIVERSITY AVE STE 510
BEAVER DAM, WI 53916
(920) 885-8586
1043786296 SHERRY BISBEE
Individual
Pharmacist705 S UNIVERSITY AVE
BEAVER DAM, WI 53916
(920) 356-0040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659366821, enumerated in the NPI registry as an "individual" on September 14, 2005

The provider is located at 705 S University Ave Suite 300 Beaver Dam, Wi 53916 and the phone number is (920) 885-6090

The provider's speciality is Midwife with taxonomy code 176B00000X

The provider has more than 30 years of experience.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

The practitioner is affiliated to the following hospital(s): MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD). Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 14, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.