Individual provider Active NPI

Kevin L Schoepel, MD

  • Vascular Surgery Physician
  • Wausau, WI
National Provider Identifier
1841211067
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
61676 Issued in WI
Practice address
2400 Pine Ridge Blvd
Wausau, WI 54401-7803
Phone
(715) 847-2022
Fax
(715) 847-2775
NPI assigned
Jul 22, 2006
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 46852 MN
Vascular Surgery Physician 2086S0129X 61676 WI Primary

Addresses

Primary practice location

2400 Pine Ridge Blvd
Wausau, WI 54401-7803

Mailing address

2400 Pine Ridge Blvd
Wausau, WI 54401-7803
Phone (715) 847-2022

Other identifiers 1

IdentifierTypeStateIssuer
071665100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040831000384 MN Practitioner - Vascular SurgeryPractitioner - General Surgery 6800861105 Reassigns benefits to 1 organization
I20140122001325 WI Practitioner - Vascular SurgeryPractitioner - General Surgery 6800861105 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5000

1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61676WIMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Express Care, Inc CurrentSince Nov 1, 2014 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jan 14, 2014 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Gundersen Clinic LTD CurrentSince Nov 1, 2014 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jan 14, 2014 Accepting new patients
Sanford Health of Northern Minnesota Past Accepting new patients
Sanford Health of Northern Minnesota Past Accepting new patients

Locations

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

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

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Interoperability endpoints

  • Direct secure messaging: kschoepel150159@direct.aspirus.org
  • Direct secure messaging: kschoepel69096@direct.gundersenhealth.org

Organizations & group practices 11

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 3

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1841211067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PINE RIDGE BLVD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017803",
            "telephone_number": "715-847-2022",
            "fax_number": "715-847-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PINE RIDGE BLVD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017803",
            "telephone_number": "715-847-2022",
            "fax_number": "715-847-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEPEL",
        "first_name": "KEVIN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "46852",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WI",
            "license": "61676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071665100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.