Individual provider Active NPI

Michael J Schneider, MD

  • Surgery Physician
  • Amery, WI
National Provider Identifier
1053475764
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
62940 Issued in WI
Practice address
265 Griffin St E
Amery, WI 54001-1439
Phone
(715) 268-8000
Fax
(715) 268-0311
NPI assigned
Dec 20, 2006
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 48035 MN
Surgery Physician 208600000X 48035 MN
Surgery Physician 208600000X 62940 WI Primary

Addresses

Primary practice location

265 Griffin St E
Amery, WI 54001-1439

Mailing address

403 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6800

Other identifiers 2

IdentifierTypeStateIssuer
986422900MedicaidMN
1053475764MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141009000895 WI Practitioner - General Surgery 2567430341 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wake Forest University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ladd Memorial HospitalGroup PAC ID 9931092848, 69 clinicians

Practice addresses (Care Compare)

2600 65TH Ave
Osceola, WI 54020-4370
Phone (715) 294-2111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48035MNMDSurgery Physician
62940WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Area Medical Center Inc. CurrentSince Aug 1, 2021 Accepting new patients
Hudson Physicians, S.C. Family Medicine CurrentSince May 3, 2021 Accepting new patients
Hudson Physicians, S.C. CurrentSince May 3, 2021 Accepting new patients
Baldwin Area Medical Center, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Baldwin Area Medical Center, Inc. Current Accepting new patients
Ladd Memorial Hospital CurrentSince Dec 1, 2022 Accepting new patients
Hudson Physicians, S.C. Family Medicine Current Accepting new patients
Ladd Memorial Hospital CurrentSince Dec 1, 2022 Accepting new patients
Midwest Surgical Associates PC Surgery Past Accepting new patients
Ladd Memorial Hospital Past Accepting new patients
Watz Surgical Group LLC Surgery Past Accepting new patients

Locations

21190 Ozark Ave N
Scandia, MN 55073
Phone (715) 294-2111

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111

840 Spruce St
Baldwin, WI 54002
Phone (715) 235-4274

2310 Crest View Dr
Hudson, WI 54016
Phone (715) 381-5923

2651 Hillcrest Dr
Hudson, WI 54016
Phone (630) 632-2648

2651 Hillcrest Dr
Ste 303
Hudson, WI 54016

403 Stageline Rd
Hudson, WI 54016
Phone (715) 386-8880

525 N Knowles Ave
#100
New Richmond, WI 54017

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

Interoperability endpoints

  • Direct secure messaging: mschneider709885@direct.ochin.org

Organizations & group practices 11

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 1

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1053475764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 STAGELINE RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167848",
            "telephone_number": "715-531-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 GRIFFIN ST E",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011439",
            "telephone_number": "715-268-8000",
            "fax_number": "715-268-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "48035",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "48035",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "62940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "986422900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053475764",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amery, WI

Sources for this page

Verify at the official NPI Registry.