Sandra Schaefer, APNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

2706542 Issued in FL

Practice address

611 Veterans Ave Ste 106
West Bend, WI 53090-2545

Phone

(262) 353-4460

Fax

(262) 353-4461

NPI assigned

Apr 1, 2010

Last updated

Aug 29, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Children's Medical Group

  dba Glendale Pediatrics

  • Pediatrics Physician
  • Glendale, WI
  • NPI 1134394471
  NPD (past)
• Children's Medical Group

  dba West Bend Pediatrics

  • Pediatrics Physician
  • West Bend, WI
  • NPI 1992171987
  NPD (past)

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1750606737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE",
            "address_2": "MS 958",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-7615",
            "fax_number": "414-266-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 VETERANS AVE STE 106",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530902545",
            "telephone_number": "262-353-4460",
            "fax_number": "262-353-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "SANDRA",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "2706542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750606737",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Saugen, D.O.
• Thomas D Saugen, CRNA
• Schaarschmidt Chiropractic Health Center LTD
• Kurt Rudolf Schaarschmidt, D.C.
• Stephen Robert Schacht, D.D.S.
• Mical Gustave Schaffer, LCSW
• Pamela Anne Schall, MASSAGE THERAPIST
• Tiernee Schatz, LPC-IT, SAC-IT
• Diane Schauble, LPC
• Bekki Jo Scheel, PA-C

• Pediatric Nurse Practitioner in West Bend, WI
• Providers in West Bend, WI by specialty
• Pediatric Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.