NPIMap

Individual provider Active NPI

Katharine W. Schenck, PA-C

  • Physician Assistant
  • Mequon, WI
National Provider Identifier
1093944308
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2424 Issued in WI
Practice address
13133 N Port Washington Rd
Suite 104
Mequon, WI 53097-2419
Phone
(262) 243-5044
Fax
(262) 243-2510
NPI assigned
Jul 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2424 WI Primary

Addresses

Primary practice location

13133 N Port Washington Rd
Suite 104
Mequon, WI 53097-2419

Mailing address

788 N. Jefferson Street
Suite 300
Milwaukee, WI 53202-3710
Phone (414) 272-8950

Other identifiers 1

IdentifierTypeStateIssuer
1093944308MedicaidWI

Other names 1

  • Katharine W. Hackbarth Former name

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
I20100114000140 WI Practitioner - Physician Assistant 9739220682 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Critical Care SCGroup PAC ID 4486026804, 49 clinicians
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians

Practice addresses (Care Compare)

19475 W N Ave
Brookfield, WI 53045-4199
Phone (414) 453-7418

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

3803 Spring St
Mount Pleasant, WI 53405-1660
Phone (262) 687-4011

Hospital & facility affiliations

  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Aspirus Divine Savior Hospital Hospital, Portage, WI, CCN 520041
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Oct 28, 2015 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Sep 29, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Sep 29, 2025 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Oct 28, 2015 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

3803 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-3973

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

Organizations & group practices 7

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

Hospital & facility affiliations 4

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": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1093944308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 N. JEFFERSON STREET",
            "address_2": "SUITE 300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023710",
            "telephone_number": "414-272-8950",
            "fax_number": "414-272-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13133 N PORT WASHINGTON RD",
            "address_2": "SUITE 104",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972419",
            "telephone_number": "262-243-5044",
            "fax_number": "262-243-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENCK",
        "first_name": "KATHARINE",
        "middle_name": "W.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093944308",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHARINE",
            "last_name": "HACKBARTH",
            "middle_name": "W.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mequon, WI

Sources for this page

Verify at the official NPI Registry.