Individual provider Active NPI

Laura J Schmidt, APNP

  • Nurse Practitioner
  • Waukesha, WI
National Provider Identifier
1275858144
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4152-33 Issued in WI
Practice address
1260 Sentry Dr Ste 140
Waukesha, WI 53186-5990
Phone
(262) 524-1024
Fax
(262) 524-8767
NPI assigned
Apr 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 158770-30 WI
Nurse Practitioner 363L00000X 4152-33 WI Primary

Addresses

Primary practice location

1260 Sentry Dr Ste 140
Waukesha, WI 53186-5990

Mailing address

1260 Sentry Dr Ste 140
Waukesha, WI 53186-5990
Phone (262) 524-1024

Other identifiers 1

IdentifierTypeStateIssuer
1275858144MedicaidWI

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
I20101113000104 WI Practitioner - Nurse Practitioner 0648465849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates SCGroup PAC ID 7416841663, 8 clinicians

Practice addresses (Care Compare)

1260 Sentry Dr
Suite 140
Waukesha, WI 53186-5990
Phone 2625241024300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158770-30WIMDRegistered Nurse
4152-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates SC CurrentSince Jun 8, 2016 Accepting new patients
Nephrology Associates SC Current Accepting new patients

Locations

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

109 Air Park Dr
Watertown, WI 53094
Phone (262) 928-5100

1111 Delafield St
Ste 327
Waukesha, WI 53188
Phone (262) 239-7070

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

1260 Sentry Dr
Ste 140
Waukesha, WI 53186
Phone 2625241024300

1260 Sentry Dr
Waukesha, WI 53186
Phone (262) 446-5100

Interoperability endpoints

  • Direct secure messaging: lschmidt66574@direct.phci.org

Organizations & group practices 2

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 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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1275858144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 SENTRY DR STE 140",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865990",
            "telephone_number": "262-524-1024",
            "fax_number": "262-524-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 SENTRY DR STE 140",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865990",
            "telephone_number": "262-524-1024",
            "fax_number": "262-524-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "158770-30",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4152-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275858144",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.