NPIMap

Individual provider Active NPI

Scott David Hellmich, NP-C

  • Family Nurse Practitioner
  • Friendship, WI
National Provider Identifier
1568178341
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13898 Issued in WI
Practice address
402 W Lake St
Friendship, WI 53934-9699
Phone
(608) 339-3331
NPI assigned
Jan 25, 2023
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13898 WI Primary
Emergency Registered Nurse 163WE0003X 240251-30 WI

Addresses

Primary practice location

402 W Lake St
Friendship, WI 53934-9699

Mailing address

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

Other practice location 1

7110 Country Village Dr
Wisconsin Rapids, WI 54494-7689
Phone (715) 459-4475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231005003068 WI Practitioner - Nurse Practitioner 2264887561 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Wisconsin IncGroup PAC ID 6204208754, 48 clinicians

Practice addresses (Care Compare)

131 E N Water St
Neenah, WI 54956
Phone (337) 991-9276

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
240251-30WIMDEmergency Registered Nurse
13898WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Wi SC CurrentSince Jan 19, 2026 Accepting new patients
Maple Medical SC CurrentSince Oct 1, 2023 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince May 13, 2024 Accepting new patients
Oak Medical SC CurrentSince Oct 1, 2023 Accepting new patients
Curana Health of Wisconsin Inc CurrentSince Jan 19, 2026 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc CurrentSince Jan 5, 2026 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince May 13, 2024 Accepting new patients

Locations

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1110 Kepler Dr
Green Bay, WI 54311
Phone (920) 288-4712

1366 E Sumner St
Hartford, WI 53027
Phone (337) 408-0805

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: shellmich877095@direct.emplifyhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1568178341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W LAKE ST",
            "city": "FRIENDSHIP",
            "state": "WI",
            "postal_code": "539349699",
            "telephone_number": "608-339-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W LAKE ST",
            "city": "FRIENDSHIP",
            "state": "WI",
            "postal_code": "539349699",
            "telephone_number": "608-339-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7110 Country Village Dr",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "postal_code": "544947689",
            "country_code": "US",
            "telephone_number": "715-459-4475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLMICH",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2024-05-07",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "13898",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "WI",
            "license": "240251-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendship, WI

Sources for this page

Verify at the official NPI Registry.