Individual provider Active NPI

Lisa Kaye Schabach, APNP

  • Nurse Practitioner
  • Chilton, WI
National Provider Identifier
1124086640
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
262433 Issued in WI
Practice address
618 Memorial Dr
Chilton, WI 53014
Phone
(920) 849-7734
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 262433 WI Primary

Addresses

Primary practice location

618 Memorial Dr
Chilton, WI 53014

Mailing address

618 Memorial Dr
Chilton, WI 53014
Phone (920) 849-7734

Other identifiers 1

IdentifierTypeStateIssuer
36002300MedicaidWI

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060502000382 WI Practitioner - Nurse Practitioner 0446260665 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group-Fox Valley Wisconsin, IncGroup PAC ID 0244142420, 260 clinicians

Practice addresses (Care Compare)

1160 Service Rd
Kiel, WI 53042-1281
Phone (920) 894-3322

1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 738-2000

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000

2700 W 9TH Ave
Oshkosh, WI 54904-7247

Hospital & facility affiliations

  • Ascension Calumet Hospital Hospital, Chilton, WI, CCN 521317
  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2624WIMDChiropractor
262433WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince May 1, 2006 Accepting new patients
Ascension Calumet Hospital, Inc CurrentSince Jan 1, 2010 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince May 1, 2006 Accepting new patients

Locations

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

618 Memorial Dr
Chilton, WI 53014
Phone (920) 849-3800

1160 Service Rd
Kiel, WI 53042
Phone (920) 894-3322

1712 Monroe St
New Holstein, WI 53061
Phone (920) 882-4000

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

Organizations & group practices 3

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 3

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1124086640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 MEMORIAL DR",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "53014",
            "telephone_number": "920-849-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MEMORIAL DR",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "53014",
            "telephone_number": "920-849-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHABACH",
        "first_name": "LISA",
        "middle_name": "KAYE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "262433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36002300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chilton, WI

Sources for this page

Verify at the official NPI Registry.