Individual provider Active NPI

Megan A Schraufnagel

  • Registered Nurse
  • Fox Lake, WI
National Provider Identifier
1477331551
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
199137-30 Issued in WI
Practice address
N9110 Breezy Point Rd
Fox Lake, WI 53933-9637
Phone
(920) 318-1093
NPI assigned
Sep 19, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 199137-30 WI Primary

Addresses

Primary practice location

N9110 Breezy Point Rd
Fox Lake, WI 53933-9637

Mailing address

N9110 Breezy Point Rd
Fox Lake, WI 53933-9637
Phone (920) 318-1093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
199137-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1477331551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N9110 BREEZY POINT RD",
            "city": "FOX LAKE",
            "state": "WI",
            "postal_code": "539339637",
            "telephone_number": "920-318-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N9110 BREEZY POINT RD",
            "city": "FOX LAKE",
            "state": "WI",
            "postal_code": "539339637",
            "telephone_number": "920-318-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAUFNAGEL",
        "first_name": "MEGAN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "199137-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fox Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.