Active NPI
Kevin L Schoepel, MD
- Vascular Surgery Physician
- Wausau, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 61676
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071665100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular 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
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61676 | WI | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Lutheran Express Care, Inc | Current | Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Gundersen Clinic LTD | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc | Current | 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
- kschoepel150159@direct.aspirus.org
- 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.
-
dba Sanford Health Kelliher Clinic
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
- Clinic/Center
- La Crosse, WI
- NPI 1851343115
-
dba Emplify Health Hamilton Clinic
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
- Rural Health Clinic/Center
- Whitehall, WI
- NPI 1417201864
-
- Clinic/Center
- La Crosse, WI
- NPI 1043446974
-
dba Emplify Health La Crosse Hospital
- General Acute Care Hospital
- La Crosse, WI
- NPI 1376593442
-
dba Emplify Health Onalaska Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
-
- Clinic/Center
- Independence, WI
- NPI 1073335642
-
- Rural Health Clinic/Center
- Mondovi, WI
- NPI 1285988733
-
dba Sanford Bemidji Medical Center
- Rural Acute Care Hospital
- Bemidji, MN
- NPI 1801870191
-
dba Sanford Bagley Clinic
- Rural Health Clinic/Center
- Bagley, MN
- NPI 1972875490
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Hospital
-
dba Sanford Bemidji Medical Center
- Rural Acute Care Hospital
- Bemidji, MN
- NPI 1801870191
-
dba Sanford Bagley Medical Center
- Critical Access Hospital
- Bagley, MN
- NPI 1932472255
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.