Active NPI
Molly Schuelke
- Physician Assistant
- New Berlin, WI
National Provider Identifier
1861863920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3735-23
- Practice address
- 4855 S Moorland Rd
New Berlin, WI 53151-7494 - Phone
- (262) 432-7599
- NPI assigned
- Oct 15, 2015
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3735-23 | WI | Primary |
Addresses
Primary practice location
4855 S Moorland Rd
New Berlin, WI 53151-7494
Mailing address
1598 Cherokee St
Grafton, WI 53024-2129
Phone (920) 946-5716
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3735-23 | WI | MD | Physician Assistant |
Interoperability endpoints
- mmeinen48476@direct.chw.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1861863920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1598 CHEROKEE ST",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530242129",
"telephone_number": "920-946-5716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4855 S MOORLAND RD",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531517494",
"telephone_number": "262-432-7599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUELKE",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-15",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "3735-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.