Active NPI
Rebecca A Schettle, APNP
- Nurse Practitioner
- Wauwatosa, WI
National Provider Identifier
1508222308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6773
- Practice address
- 10800 W Capitol Dr
Wauwatosa, WI 53222 - Phone
- (414) 462-2373
- Fax
- (414) 462-2393
- NPI assigned
- Jan 8, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 6773 | WI | Primary |
Addresses
Primary practice location
10800 W Capitol Dr
Wauwatosa, WI 53222
Mailing address
10800 W Capitol Dr
Wauwatosa, WI 53222-1109
Phone (414) 462-2373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508222308 | Medicaid | WI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6773 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1508222308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 W CAPITOL DR",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532221109",
"telephone_number": "414-462-2373",
"fax_number": "414-462-2393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 W CAPITOL DR",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "53222",
"telephone_number": "414-462-2373",
"fax_number": "414-462-2393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHETTLE",
"first_name": "REBECCA",
"middle_name": "A",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-08",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "6773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508222308",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.