Individual provider Active NPI

Stacy Lynn Schmidt, PA-C

  • Physician Assistant
  • Beaver Dam, WI
National Provider Identifier
1548279573
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1939 Issued in WI
Practice address
707 S University Ave
Beaver Dam, WI 53916
Phone
(414) 290-6720
Fax
(414) 290-6755
NPI assigned
Aug 7, 2006
Last updated
Aug 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1939 WI Primary

Addresses

Primary practice location

707 S University Ave
Beaver Dam, WI 53916

Mailing address

111 E Wisconsin Ave
Suite 2000
Milwaukee, WI 53202-4815
Phone (414) 290-6715

Other practice location 1

900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (715) 717-4121

Other practice location 2

2661 County Highway I
Chippewa Falls, WI 54729-5407
Phone (715) 723-1811

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000835 WI Practitioner - Physician Assistant 6406878354 Reassigns benefits to 16 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Drexel University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swea Fort SCGroup PAC ID 0345774972, 51 clinicians

Practice addresses (Care Compare)

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-5475

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1939WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc CurrentSince Jan 2, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Sep 26, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Nov 21, 2017 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 26, 2022 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 26, 2022 Accepting new patients
Memorial Hospital Inc CurrentSince Sep 26, 2022 Accepting new patients
Dean Health Systems, Inc. CurrentSince Jan 2, 2024 Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Dec 1, 2020 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Jan 1, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 26, 2022 Accepting new patients
DRS. Massaro & Kalenak S C Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Nov 21, 2017 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Sep 26, 2022 Accepting new patients
The Medical College of Wisconsin, Inc. Current Accepting new patients
Flambeau Hospital Inc CurrentSince Sep 26, 2022 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Physician Assistant CurrentSince Jan 1, 2022 Accepting new patients
Richard S Veiga MD SC Current Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 26, 2022 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 26, 2022 Accepting new patients
Ihc-St. Francis Emergency Physicians, LLC Past Accepting new patients

Locations (25 of 27)

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006

2661 County Highway I
Chippewa Fls, WI 54729
Phone (715) 717-7200

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500

900 College Ave W
Ladysmith, WI 54848
Phone (715) 532-5561

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

Interoperability endpoints

  • Direct secure messaging: sschmidt318113@direct.thedacare.org
  • Direct secure messaging: stacy.schmidt@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 29

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 29

Hospital & facility affiliations 2

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1548279573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WISCONSIN AVE",
            "address_2": "SUITE 2000",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024815",
            "telephone_number": "414-290-6715",
            "fax_number": "414-290-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S UNIVERSITY AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "53916",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W Clairemont Ave",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016122",
            "country_code": "US",
            "telephone_number": "715-717-4121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2661 County Highway I",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547295407",
            "country_code": "US",
            "telephone_number": "715-723-1811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

Verify at the official NPI Registry.