Active NPI
Philip William Schanen, RN
- Addiction (Substance Use Disorder) Registered Nurse
- Sheboygan, WI
National Provider Identifier
1497511497
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jun 18, 2026.
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- 165057
- Practice address
- 2842 S Business Dr
Sheboygan, WI 53081-6518 - Phone
- (920) 458-6527
- Fax
- (920) 458-6623
- NPI assigned
- Feb 27, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 165057 | WI | |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 165057 | WI | Primary |
Addresses
Primary practice location
2842 S Business Dr
Sheboygan, WI 53081-6518
Mailing address
2842 S Business Dr
Sheboygan, WI 53081-6518
Phone (920) 458-6527
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165057 | WI | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1497511497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2842 S BUSINESS DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530816518",
"telephone_number": "920-458-6527",
"fax_number": "920-458-6623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2842 S BUSINESS DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530816518",
"telephone_number": "920-458-6527",
"fax_number": "920-458-6623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHANEN",
"first_name": "PHILIP",
"middle_name": "WILLIAM",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-27",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "165057",
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "165057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.