Individual provider Active NPI

John Paul Steinlage, M.D.

  • Family Medicine Physician
  • Appleton, WI
National Provider Identifier
1235174657
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38129 Issued in WI
Practice address
CHC of Wisconsin
1120 E Nawada St
Appleton, WI 54911-5271
Phone
(920) 810-2372
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38129 WI Primary

Addresses

Primary practice location

CHC of Wisconsin
1120 E Nawada St
Appleton, WI 54911-5271

Mailing address

1120 E Nawada St
Appleton, WI 54911-5271
Phone (920) 810-2372

Other practice location 1

1120 E Nawada St
Appleton, WI 54911-5271
Phone (920) 810-2372

Other identifiers 1

IdentifierTypeStateIssuer
32368400MedicaidWI

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
I20061009000172 WI Practitioner - Family Practice 9739185174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38129WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anovia Health Family Medicine Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: john.steinlage@337248305217540.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1235174657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E NAWADA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115271",
            "telephone_number": "920-810-2372",
            "fax_number": "855-318-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHC OF WISCONSIN",
            "address_2": "1120 E NAWADA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115271",
            "telephone_number": "920-810-2372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 E Nawada St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549115271",
            "country_code": "US",
            "telephone_number": "920-810-2372",
            "fax_number": "855-318-1345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEINLAGE",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "38129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32368400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.