Active NPI
Pamela S. Schwartau, CFNP
- Family Nurse Practitioner
- Superior, WI
National Provider Identifier
1811006752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1596
- Practice address
- 3600 Tower Ave
Suite One
Superior, WI 54880-5337 - Phone
- (715) 392-1955
- Fax
- (715) 392-1935
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1596 | WI | Primary |
Addresses
Primary practice location
3600 Tower Ave
Suite One
Superior, WI 54880-5337
Mailing address
3600 Tower Ave
Suite One
Superior, WI 54880-5337
Phone (715) 392-1955
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DUL 015R3SC | Other | MN | MEDICA |
| PREFERRED ONE | Other | MN | NA9591046229 |
| R081494-0 | Other | MN | LICENSE RN |
| 0340580-22 | Other | MN | LICENSES CFNP |
| 81823 | Other | WI | LICENSE RN |
| 1596 | Other | WI | LICENSE WI |
| 01-13076 | Other | WI | MEDICA - WI |
| 01-13077 | Other | MN | MEDICA - MN |
| 43936900 | Medicaid | WI | |
| 585985645005 | Other | WI | BCBS-WI |
Other names 1
- Pamela S. Troke
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1596 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1811006752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 TOWER AVE",
"address_2": "SUITE ONE",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548805337",
"telephone_number": "715-392-1955",
"fax_number": "715-392-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 TOWER AVE",
"address_2": "SUITE ONE",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548805337",
"telephone_number": "715-392-1955",
"fax_number": "715-392-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTAU",
"first_name": "PAMELA",
"middle_name": "S.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "1596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "DUL 015R3SC",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA9591046229",
"identifier": "PREFERRED ONE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE RN",
"identifier": "R081494-0",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSES CFNP",
"identifier": "0340580-22",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE RN",
"identifier": "81823",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE WI",
"identifier": "1596",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA - WI",
"identifier": "01-13076",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA - MN",
"identifier": "01-13077",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43936900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-WI",
"identifier": "585985645005",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "TROKE",
"middle_name": "S.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Superior, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.