Individual provider Active NPI

Michelle Rae Schlomer, MSN, APNP

  • Adult Health Nurse Practitioner
  • Waukesha, WI
National Provider Identifier
1376540864
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1056-033 Issued in WI
Practice address
1185 Corporate Center Dr
Suite 175 Prohealth Care Medical Associates Inc
Waukesha, WI 53188-5031
Phone
(262) 928-8400
Fax
(262) 928-8484
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1056-033 WI Primary

Addresses

Primary practice location

1185 Corporate Center Dr
Suite 175 Prohealth Care Medical Associates Inc
Waukesha, WI 53188-5031

Mailing address

W380N6009 Highway 67
Oconomowoc, WI 53066-1634
Phone (262) 560-4823

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
I20040428001267 WI Practitioner - Nurse Practitioner 7416944731 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1056WIMDMedical Physician Assistant
1056-033WIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Medical Group Inc. CurrentSince Aug 7, 2011 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

2750 Golf Rd
Delafield, WI 53018
Phone (262) 928-4900

W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000

1185 Corporate Center Dr
Ste 175
Oconomowoc, WI 53066
Phone (262) 928-6236

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

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1376540864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W380N6009 HIGHWAY 67",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530661634",
            "telephone_number": "262-560-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 CORPORATE CENTER DR",
            "address_2": "SUITE 175 PROHEALTH CARE MEDICAL ASSOCIATES INC",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885031",
            "telephone_number": "262-928-8400",
            "fax_number": "262-928-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOMER",
        "first_name": "MICHELLE",
        "middle_name": "RAE",
        "credential": "MSN, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "1056-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.