Active NPI
Jonathan D Shuit, APNP
- Family Nurse Practitioner
- Kohler, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9074
- Practice address
- 950 Woodlake Rd
Kohler, WI 53044-1348 - Phone
- (920) 496-4700
- NPI assigned
- Mar 18, 2019
- Last updated
- Dec 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc. | Current | Accepting new patients | |
| Emergency Physician Associates of Wisconsin SC | Nurse Practitioner | Current | Accepting new patients |
| Prohealth Medical Group Inc | Current | Accepting new patients | |
| Lake Country Emergency Physicians | Current | Accepting new patients | |
| Emergency Medical Associates LLP | Current | 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.
-
- Emergency Medicine Physician
- Waukesha, WI
- NPI 1861483190
-
- Emergency Medicine Physician
- Marinette, WI
- NPI 1396119426
Nurse Practitioner
-
- Emergency Medicine Physician
- Oconomowoc, WI
- NPI 1720060585
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
- Internal Medicine Physician
- Watertown, WI
- NPI 1629119417
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
-
dba Watertown Regional Medical Center
- General Acute Care Hospital
- Watertown, WI
- NPI 1992776041
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
- Elizabeth Jean Radermacher, CCC-SLP
- Debra Rubach, RPH
- Tanya Schickowski, OTA
- School District of Kohler
- Susan Klink Senti, MPT
- St. Nicholas Hospital-Sisters of the Third Order of St Francis (Prevea Health)
- St. Nicholas Hospital-Sisters of the Third Order of St. Francis (Prevea Kohler Woodlake)
- St. Nicholas Hospital-Sisters of the Third Order of St. Francis
- Lisa J Steinbruecker, N.P.
- Mai Der Vang, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.