Active NPI
Jessica N. Schrage, RD, CD
- Registered Dietitian
- Sheboygan, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2239-29
- Practice address
- 2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129 - Phone
- (920) 457-4461
- NPI assigned
- May 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2239-29 | WI | Primary |
Addresses
Primary practice location
2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Mailing address
368 Niagara St
Kiel, WI 53042-1696
Phone (920) 960-2517
Other practice location 1
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011
Other practice location 2
2600 Kiley Way
Plymouth, WI 53073-5020
Phone (920) 449-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone (920) 457-4461
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2239-29 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients |
Locations
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
2600 Kiley Way
Plymouth, WI 53073
Phone (920) 449-7000
2414 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 457-4461
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1306281050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 NIAGARA ST",
"city": "KIEL",
"state": "WI",
"postal_code": "530421696",
"telephone_number": "920-960-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2414 KOHLER MEMORIAL DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813129",
"telephone_number": "920-457-4461"
}
],
"practiceLocations": [
{
"address_1": "3801 Spring St",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "WI",
"postal_code": "534051667",
"country_code": "US",
"telephone_number": "262-687-4011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2600 Kiley Way",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "WI",
"postal_code": "530735020",
"country_code": "US",
"telephone_number": "920-449-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHRAGE",
"first_name": "JESSICA",
"middle_name": "N.",
"name_prefix": "Mrs.",
"credential": "RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-08",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "2239-29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.