Katherine Jackson-Schneider, D.O.
Individual provider Active NPI Family Medicine Physician · Stanley, WI
NPI 1871614545 · NPPES record last updated Nov 3, 2021
Key facts
- NPI
- 1871614545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 75408-21 (WI)
- Practice address
- 1120 Pine St
Stanley, WI 54768-1297 - Phone
- (715) 644-5530
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Stanley Hospital and Clinics Inc
Practice addresses (Care Compare)
1120 Pine St
Stanley, WI 54768-1297
Phone (715) 644-5530
Hospital & facility affiliations
- Aspirus Stanley Hospital
- Aspirus Medford Hospital & Clinics, Inc
- Clark County Rehabilitation & Living Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210622000878 | WI | Practitioner - Family Practice | 0749357283 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Stanley Hospital & Clinics, Inc. | Family Medicine | Current | Accepting new patients |
| Aspirus Stanley Hospital & Clinics, Inc | Family Medicine | Current | Accepting new patients |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
6 Johnson St
Owen, WI 54460
Phone (715) 229-2177
1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530
704 S Clark St
Thorp, WI 54771
Phone (715) 669-5536
Interoperability endpoints
- kjacksonschneider169371@direct.aspirus.org
- kjackson4894@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 75408-21 | WI | Yes |
Addresses
Primary practice location
1120 Pine St
Stanley, WI 54768-1297
Mailing address
1120 Pine St
Stanley, WI 54768-1297
Phone (715) 644-5530
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51001016612 | Other | MI | PHYSICIAN LICENSE |
| 1871614545 | Other | NPI | |
| 75408-21 | Other | WI | WISCONSIN MEDICAL LICENSE |
Other names
- Katherine Jackson
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | katherine.jackson-schneider@aspirus.org | Direct | Our Lady of Victory Hospital |
Other providers in Stanley, WI
- Jennifer L Haas
- Erin Colleen Harrington
- Hayes Hand Surgery
- William P Hopkins
- Wayne Alan Hove
- Steven F Jacobs
- Daniel Johnson
- Alex A Kobylarczyk
- Jahoon Koo
- Victoria Kramar
All providers in Stanley, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.