Individual provider Active NPI

Roxanne M Schauer-Denneau, RD,RDN

  • Registered Dietitian
  • Green Bay, WI
National Provider Identifier
1962487322
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1427 Issued in WI
Practice address
3263 Eaton Rd
Green Bay, WI 54311-8046
Phone
(920) 433-3456
NPI assigned
Dec 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1427 WI Primary

Addresses

Primary practice location

3263 Eaton Rd
Green Bay, WI 54311-8046

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222

Other practice location 1

1630 Commanche Ave
Green Bay, WI 54313-5753
Phone (920) 430-4700

Other practice location 2

704 S Webster Ave Ste 501
Green Bay, WI 54301-3528
Phone (920) 433-6050

Other identifiers 3

IdentifierTypeStateIssuer
1427-029OtherWISCONSIN LICENSE NUMBER
816778OtherWICOMMISSION ON DIETETIC REGISTRATION
20210396OtherWICERTIFIED DIABETES EDUCATOR

Other names 1

  • Roxanne M Schauer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040119000199 WI Practitioner - Registered Dietitian Or Nutrition Professional 3274434659 Reassigns benefits to 2 organizations
I20260429000159 MI Practitioner - Registered Dietitian Or Nutrition Professional 3274434659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians
Oconto Hospital and Medical Center IncGroup PAC ID 2163461781, 217 clinicians

Practice addresses (Care Compare)

440 Woodward Ave
Iron Mountain, MI 49801-4631
Phone (906) 776-9040

555 Redbird Cir
Suite 300
De Pere, WI 54115-7980
Phone (920) 338-6870

820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1427WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Jan 4, 2010 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Jan 4, 2010 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Feb 1, 2016 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Feb 1, 2016 Accepting new patients

Locations

610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488

440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040

1510 Fremont St
Algoma, WI 54201
Phone (920) 487-3676

555 Redbird Cir
Ste 300
De Pere, WI 54115
Phone (920) 338-6830

555 Redbird Cir
De Pere, WI 54115
Phone (920) 338-6820

1630 Commanche Ave
Green Bay, WI 54313
Phone (920) 430-4700

3263 Eaton Rd
Green Bay, WI 54311
Phone (920) 433-6000

430 S Clay St
Green Bay, WI 54301
Phone (920) 432-5231

704 S Webster Ave
Ste 501
Green Bay, WI 54301
Phone (920) 433-6050

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

2305 San Luis Pl
Green Bay, WI 54304
Phone (920) 494-2817

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

607 E Bronson Rd
Seymour, WI 54165
Phone (920) 833-6856

Interoperability endpoints

  • Direct secure messaging: rdenneau30395@direct.thedacare.org

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1962487322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3263 EATON RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118046",
            "telephone_number": "920-433-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Commanche Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543135753",
            "country_code": "US",
            "telephone_number": "920-430-4700",
            "fax_number": "920-430-4747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "704 S Webster Ave Ste 501",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543013528",
            "country_code": "US",
            "telephone_number": "920-433-6050",
            "fax_number": "920-433-6049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAUER-DENNEAU",
        "first_name": "ROXANNE",
        "middle_name": "M",
        "credential": "RD,RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN LICENSE NUMBER",
            "identifier": "1427-029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "816778",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED DIABETES EDUCATOR",
            "identifier": "20210396",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "SCHAUER",
            "middle_name": "M",
            "credential": "RD,RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.