NPIMap

Individual provider Active NPI

Theresa Lynn Schinke, DPM

  • Podiatrist
  • Appleton, WI
National Provider Identifier
1043210594
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
902-025 Issued in WI
Practice address
1301 E Northland Ave
Ste B
Appleton, WI 54911-8426
Phone
(920) 731-1999
Fax
(920) 731-3729
NPI assigned
Jul 27, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 902-025 WI Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 902-025 WI

Addresses

Primary practice location

1301 E Northland Ave
Ste B
Appleton, WI 54911-8426

Mailing address

1301 E Northland Ave
Ste B
Appleton, WI 54911-8426
Phone (920) 731-1999

Other identifiers 1

IdentifierTypeStateIssuer
43239600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620000128 WI Practitioner - Podiatry 9830133966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 E Northland Ave
Suite B
Appleton, WI 54911-8582
Phone (920) 702-5484

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
902-025WIMDPodiatrist
902WIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Wisconsin Foot and Ankle Assoc., S.C. Podiatrist CurrentSince Aug 1, 2005 Accepting new patients
Northeast Wisconsin Foot and Ankle Assoc., S.C. Podiatrist CurrentSince Aug 1, 2005 Accepting new patients

Locations

1301 E Northland Ave
Ste B
Appleton, WI 54911
Phone (920) 702-5484

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043210594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E NORTHLAND AVE",
            "address_2": "STE B",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118426",
            "telephone_number": "920-731-1999",
            "fax_number": "920-731-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E NORTHLAND AVE",
            "address_2": "STE B",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118426",
            "telephone_number": "920-731-1999",
            "fax_number": "920-731-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHINKE",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "902-025",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "902-025",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43239600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.