Individual provider Active NPI

Neil A Shepler, MD

  • Family Medicine Physician
  • Kenosha, WI
National Provider Identifier
1396779989
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26486 Issued in WI
Practice address
3400 Market LN
Kenosha, WI 53144-3430
Phone
(262) 551-4600
Fax
(262) 551-4630
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26486 WI Primary

Addresses

Primary practice location

3400 Market LN
Kenosha, WI 53144-3430

Mailing address

3400 Market LN
Kenosha, WI 53144-3430
Phone (262) 551-4600

Other identifiers 2

IdentifierTypeStateIssuer
30604500MedicaidWI
080149504OtherWIMEDICARE RR

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101022001370 WI Practitioner - Family Practice 2466645320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Froedtert South IncGroup PAC ID 9537071196, 158 clinicians
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

3400 Market LN
Kenosha, WI 53144-3430
Phone (262) 551-4600

7137 236TH Ave
Suite 101
Salem, WI 53168-8975
Phone (262) 925-5060

Hospital & facility affiliations

  • Preceptor Home Health South Home health agency, Kenosha, WI, CCN 527024
  • Horizon Home Care and Hospice Home health agency, Milwaukee, WI, CCN 527083
  • Centerwell Home Health Home health agency, West Allis, WI, CCN 527207
  • Aurora at Home Home health agency, Milwaukee, WI, CCN 527001
  • Horizon Homecare and Hospice Hospice, Milwaukee, WI, CCN 521531
  • Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021
  • Brookside Care Center Nursing home, Kenosha, WI, CCN 525556

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
69.39
Promoting interoperability
100
Improvement activities
40
Cost
74.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26486WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert South, Inc. Family Medicine CurrentSince Oct 4, 1999 Accepting new patients
Froedtert South, Inc. Past Accepting new patients

Locations

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

3400 Market Ln
Ste 300
Kenosha, WI 53144
Phone (262) 551-4600

3400 Market Ln
Fl 3
Kenosha, WI 53144

3400 Market Ln
Kenosha, WI 53144
Phone (262) 551-4600

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

Interoperability endpoints

  • Direct secure messaging: nshepler342944@direct.froedtert.com

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.

Hospital & facility affiliations 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1396779989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MARKET LN",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531443430",
            "telephone_number": "262-551-4600",
            "fax_number": "262-551-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MARKET LN",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531443430",
            "telephone_number": "262-551-4600",
            "fax_number": "262-551-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPLER",
        "first_name": "NEIL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "26486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30604500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "080149504",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.