Individual provider Active NPI

Jonathan D Shuit, APNP

  • Family Nurse Practitioner
  • Kohler, WI
National Provider Identifier
1356800445
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9074 Issued in WI
Practice address
950 Woodlake Rd
Kohler, WI 53044-1348
Phone
(920) 496-4700
NPI assigned
Mar 18, 2019
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9074 WI
Family Nurse Practitioner 363LF0000X 9074 WI Primary

Addresses

Primary practice location

950 Woodlake Rd
Kohler, WI 53044-1348

Mailing address

PO Box 19070
Green Bay, WI 54307-9070
Phone (920) 496-4700

Other practice location 1

N16W24131 Riverwood Dr
Waukesha, WI 53188-1106
Phone (262) 699-0808

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
I20190513000094 WI Practitioner - Nurse Practitioner 7315280492 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physician Associates of Wisconsin SCGroup PAC ID 3577865690, 20 clinicians
Emergency Medical Associates LLPGroup PAC ID 0648242065, 17 clinicians

Practice addresses (Care Compare)

125 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 261-4210

725 American Ave
Suite 5
Waukesha, WI 53188-5031
Phone (262) 928-2475

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Medical Group Inc. CurrentSince Mar 31, 2019 Accepting new patients
Emergency Physician Associates of Wisconsin SC Nurse Practitioner CurrentSince Oct 1, 2023 Accepting new patients
Prohealth Medical Group Inc CurrentSince Mar 31, 2019 Accepting new patients
Lake Country Emergency Physicians CurrentSince Jun 15, 2025 Accepting new patients
Emergency Medical Associates LLP CurrentSince Jun 15, 2025 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

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

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

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

725 American Ave
#5
Waukesha, WI 53188
Phone (262) 928-2475

N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030

N16W24131 Riverwood Dr
Waukesha, WI 53188
Phone (262) 696-0696

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

Organizations & group practices 6

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

Hospital & facility affiliations 2

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1356800445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19070",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543079070",
            "telephone_number": "920-496-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WOODLAKE RD",
            "city": "KOHLER",
            "state": "WI",
            "postal_code": "530441348",
            "telephone_number": "920-496-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N16W24131 Riverwood Dr",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531881106",
            "country_code": "US",
            "telephone_number": "262-699-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUIT",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9074",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kohler, WI

Sources for this page

Verify at the official NPI Registry.