Jessica G Schiffbauer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3666 Issued in WI

Practice address

9916 75TH St Ste 101
Kenosha, WI 53142-7583

Phone

(262) 637-0500

Fax

(262) 635-8027

NPI assigned

Jul 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.schiffbauer.p1@direct.vec.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Eye Centers of Racine and Kenosha LTD

  • Ophthalmology Physician
  • Mt Pleasant, WI
  • NPI 1710905781

  Optometrist

  Medicare reassignment NPD
• Virginia Eye Consultants Inc

  • Ophthalmology Physician
  • Norfolk, VA
  • NPI 1992727820

  Optometrist

  Medicare reassignment NPD
• Eye Centers of Racine and Kenosha LTD

  • Ophthalmology Physician
  • Mount Pleasant, WI
  • NPI 1558232926
  NPD

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1659723328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST STE 140",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051642",
            "telephone_number": "262-637-0500",
            "fax_number": "262-635-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 75TH ST STE 101",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427583",
            "telephone_number": "262-637-0500",
            "fax_number": "262-635-8027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3805B Spring St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "534051642",
            "country_code": "US",
            "telephone_number": "262-637-0500",
            "fax_number": "262-635-8027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHIFFBAUER",
        "first_name": "JESSICA",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100193668",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Joseph Schambers, MSN
• Amanda Lynn Scharninghausen, PTA
• Derek Schattl
• Ryan J Schaul, MPT
• Elyse Scheeler, MS CFY/SLP
• Carolyn Schiller
• Paul John Schissler, DC
• Birute Balciunas Schlecht, D.P.M.
• Jeremy Schmidt, LPC-IT
• Jessica Schmidt

• Optometrist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.