Individual provider Active NPI

Colin Schumitsch Jewell

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1073484101
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
17591-33 Issued in WI
Practice address
1433 N Water St
Milwaukee, WI 53202-2557
Phone
(414) 208-4389
Fax
(929) 596-7897
NPI assigned
Sep 12, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 17591-33 WI Primary

Addresses

Primary practice location

1433 N Water St
Milwaukee, WI 53202-2557

Mailing address

1433 N Water St
Milwaukee, WI 53202-2557
Phone (646) 941-7645

Other practice location 1

1433 N Water St
Milwaukee, WI 53202-2557
Phone (920) 222-6598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17591-33WIMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1073484101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 N WATER ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022557",
            "telephone_number": "646-941-7645",
            "fax_number": "929-596-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 N WATER ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022557",
            "telephone_number": "414-208-4389",
            "fax_number": "929-596-7897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1433 N Water St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532022557",
            "country_code": "US",
            "telephone_number": "920-222-6598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUMITSCH JEWELL",
        "first_name": "COLIN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-09-12",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "17591-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.