NPIMap

Individual provider Active NPI

Nathan Robert Schoeppach, M.D.

  • Family Medicine Physician
  • Iron River, WI
National Provider Identifier
1902028889
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53607 Issued in WI
Practice address
7665 US Highway 2
Iron River, WI 54847-4690
Phone
(715) 372-5001
Fax
(715) 372-5067
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49854 MN
Family Medicine Physician 207Q00000X 53607 WI Primary

Addresses

Primary practice location

7665 US Highway 2
Iron River, WI 54847-4690

Mailing address

7665 US Highway 2
Iron River, WI 54847-4690
Phone (715) 372-5001

Other identifiers 4

IdentifierTypeStateIssuer
181975000MedicaidMN
P00438367OtherRR MEDICARE PTAN
0128314OtherMNMEDICA
35P57SCOtherMNBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100109000067 WI Practitioner - Family PracticePractitioner - Emergency Medicine 6709970155 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Minnesota Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Main St W
Ashland, WI 54806-3696
Phone (715) 685-2200

7665 US Hwy 2
Iron River, WI 54847-4690
Phone (715) 372-5001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49854MNMDFamily Medicine Physician
53607WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Lakes Community Health Center, Inc CurrentSince Jan 1, 2021 Accepting new patients
Memorial Medical Center Inc CurrentSince Jun 3, 2021 Accepting new patients
Memorial Medical Center Inc CurrentSince Jun 3, 2021 Accepting new patients
The Lakes Community Health Center, Inc CurrentSince Jan 1, 2021 Accepting new patients
The Lakes Community Health Center, Inc PastSince Aug 1, 2021 Accepting new patients
The Lakes Community Health Center, Inc Past Accepting new patients

Locations

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

300 Main St W
Ashland, WI 54806
Phone (715) 685-2200

115 5th Ave N
Hurley, WI 54534
Phone (715) 329-1288

7665 US Highway 2
Iron River, WI 54847
Phone (715) 372-5001

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1902028889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 US HIGHWAY 2",
            "city": "IRON RIVER",
            "state": "WI",
            "postal_code": "548474690",
            "telephone_number": "715-372-5001",
            "fax_number": "715-372-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7665 US HIGHWAY 2",
            "city": "IRON RIVER",
            "state": "WI",
            "postal_code": "548474690",
            "telephone_number": "715-372-5001",
            "fax_number": "715-372-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEPPACH",
        "first_name": "NATHAN",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "49854",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "53607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181975000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P00438367",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0128314",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35P57SC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron River, WI

Sources for this page

Verify at the official NPI Registry.