Individual provider Active NPI

Michelle K Scharine, APNP

  • Family Nurse Practitioner
  • Neenah, WI
National Provider Identifier
1376164194
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10091 Issued in WI
Practice address
1346 N Lake St
Neenah, WI 54956-1439
Phone
(775) 338-0054
NPI assigned
May 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 197063 WI
Family Nurse Practitioner 363LF0000X 10091 WI Primary

Addresses

Primary practice location

1346 N Lake St
Neenah, WI 54956-1439

Mailing address

1346 N Lake St
Neenah, WI 54956-1439
Phone (775) 338-0054

Other practice location 1

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645

Other practice location 2

130 2nd St
Neenah, WI 54956-2883
Phone (920) 729-2738

Other names 1

  • Michelle K Mariotti Former name

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
I20200630002182 WI Practitioner - Nurse Practitioner 2668895152 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
197063WIMDRegistered Nurse
10091WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pivotal Health, Inc. CurrentSince Aug 1, 2023 Accepting new patients

Locations

941 Ashwaubenon St
Unit Ae
Green Bay, WI 54304
Phone (888) 688-4746

3030 Laura Ln
Ste 130
Middleton, WI 53562
Phone (888) 688-4746

2755 Algoma Blvd
Oshkosh, WI 54901
Phone (888) 688-4746

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23915/brand/1/csg/1/fhir/r4

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": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1376164194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 N LAKE ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561439",
            "telephone_number": "775-338-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 N LAKE ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561439",
            "telephone_number": "775-338-0054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113454",
            "country_code": "US",
            "telephone_number": "920-735-7645",
            "fax_number": "920-735-7618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 2nd St",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549562883",
            "country_code": "US",
            "telephone_number": "920-729-2738",
            "fax_number": "920-729-3023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHARINE",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "197063",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MARIOTTI",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.