Active NPI
Nicole M Schwensow, PA-C
- Surgical Physician Assistant
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9120344
- Practice address
- 1 Tampa General Cir
Tampa, FL 33606-3571 - Phone
- (813) 821-8038
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1753-23 | WI | |
| Physician Assistant | 363A00000X | 4056 | CO | |
| Surgical Physician Assistant | 363AS0400X | PA9120344 | FL | Primary |
| Surgical Physician Assistant | 363AS0400X | 1753-023 | WI |
Addresses
Primary practice location
1 Tampa General Cir
Tampa, FL 33606-3571
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Phone (813) 821-8038
Other practice location 1
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (414) 290-6720
Other practice location 2
2900 12th Ave N Ste 400E
Billings, MT 59101
Phone (406) 238-6820
Other practice location 3
605 Sullivan Ave
Circle, MT 59215-7514
Phone (406) 485-2063
Other practice location 4
777 Bannock St
Denver, CO 80204
Phone (303) 602-2714
Other practice location 5
2061 Cheyenne Ct
Grafton, WI 53024-9368
Phone (414) 290-6720
Other practice location 6
2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 290-6720
Other practice location 7
2900 12th Ave N Ste 400E
Billings, MT 59101-7514
Phone (406) 238-6820
Other practice location 8
13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (414) 290-6720
Other practice location 9
W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (414) 290-6720
Other practice location 10
375 W River Woods Pkwy
Glendale, WI 53212-1080
Phone (414) 290-6720
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027170 | Other | CO | KAISER COMMERCIAL NUMBER |
| 1467415273 | Medicaid | WI | |
| 41992700 | Medicaid | WI | |
| 127525300 | Medicaid | FL | |
| 98476343 | Medicaid | CO | |
| 1JQZK | Other | FL | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nschwensow360475@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, CO, KS, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4202 E Fowler Ave
Tampa, FL 33620-6750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4056 | CO | MD | Chiropractor |
| 2489 | NE | MD | Physical Therapist |
| 1753-023 | WI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Massaro & Kalenak S C | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Phelps Memorial Health Center | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| West Suburban Cardiothoracic Surgery SC | Past | Accepting new patients | |
| University Medical Service Association Inc | Physician Assistant | Past | Accepting new patients |
Locations
777 Bannock St
Denver, CO 80204
777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500
W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
N14W23833 Stone Ridge Dr
Ste 240
Waukesha, WI 53188
Phone (262) 232-8777
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000
3200 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-5533
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- nschwensow332381@direct.nebraskamed.com
- nschwensow260122@ahs.direct-ci.com
Organizations & group practices 12
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Topeka, KS
- NPI 1770008849
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
-
- Durable Medical Equipment & Medical Supplies
- Denver, CO
- NPI 1891891107
-
- Ophthalmology Physician
- Milwaukee, WI
- NPI 1558482364
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Critical Access Hospital
- Holdrege, NE
- NPI 1629035936
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
Physician Assistant
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Waukesha, WI
- NPI 1770524191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765065600000",
"number": "1467415273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001",
"telephone_number": "813-821-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TAMPA GENERAL CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063571",
"telephone_number": "813-821-8038"
}
],
"practiceLocations": [
{
"address_1": "3200 Pleasant Valley Rd",
"address_purpose": "LOCATION",
"city": "West Bend",
"state": "WI",
"postal_code": "530959274",
"country_code": "US",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 12th Ave N Ste 400E",
"address_purpose": "LOCATION",
"city": "Billings",
"state": "MT",
"postal_code": "59101",
"country_code": "US",
"telephone_number": "406-238-6820",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "605 Sullivan Ave",
"address_purpose": "LOCATION",
"city": "Circle",
"state": "MT",
"postal_code": "592157514",
"country_code": "US",
"telephone_number": "406-485-2063",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "777 Bannock St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80204",
"country_code": "US",
"telephone_number": "303-602-2714",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2061 Cheyenne Ct",
"address_purpose": "LOCATION",
"city": "Grafton",
"state": "WI",
"postal_code": "530249368",
"country_code": "US",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2323 N Lake Dr",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532114508",
"country_code": "US",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 12th Ave N Ste 400E",
"address_purpose": "LOCATION",
"city": "Billings",
"state": "MT",
"postal_code": "591017514",
"country_code": "US",
"telephone_number": "406-238-6820",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13111 N Port Washington Rd",
"address_purpose": "LOCATION",
"city": "Mequon",
"state": "WI",
"postal_code": "530972416",
"country_code": "US",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "W180N8085 Town Hall Rd",
"address_purpose": "LOCATION",
"city": "Menomonee Falls",
"state": "WI",
"postal_code": "530513518",
"country_code": "US",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "375 W River Woods Pkwy",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "WI",
"postal_code": "532121080",
"country_code": "US",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHWENSOW",
"first_name": "NICOLE",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2025-12-07",
"certification_date": "2025-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1753-23",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "4056",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9120344",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WI",
"license": "1753-023",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "027170",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467415273",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41992700",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127525300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "98476343",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1JQZK",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nschwensow360475@direct.tgh.org",
"affiliation": "N",
"address_1": "1 Tampa General Cir",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063571",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2025; 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.