DR. THERESA LYNN SCHINKE DPM
NPI 1043210594
Podiatrist in Appleton, WI

Q: What is Theresa Schinke's NPI number?

The NPI number for Theresa Schinke is 1043210594. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Q: What is Theresa Schinke's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Schinke was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 27, 2005PECOS EnrolledAccepts Medicare Assignment

1301 E NORTHLAND AVE, STE B, APPLETON, WI 54911(920) 731-1999(920) 731-3729 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Theresa Lynn Schinke Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THERESA LYNN SCHINKE DPM (NPI 1043210594) is an individual podiatrist in Appleton, Wisconsin, licensed in Wisconsin (902-025) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and is a graduate of Kent State University College Of Podiatric Medicine (2002).

NPPES Registry Identity

NPI1043210594

Entity TypeIndividualFemale

Primary Taxonomy213E00000X

Provider Legal NameDR. THERESA LYNN SCHINKECredential: DPM

Location Address1301 E NORTHLAND AVE, STE BAppleton, WI 54911-8426

Mailing Address1301 E Northland Ave, Ste BAppleton, WI 54911-8426 · (920) 731-1999 · Fax (920) 731-3729

Phone(920) 731-1999

Fax(920) 731-3729

Sole ProprietorYes

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2002

Enumeration DateJuly 27, 2005

Last NPPES UpdateMarch 7, 2023

✔ NPI 1043210594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in WI · 902-025

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 902-025 (WI)

1301 E NORTHLAND AVE, Appleton, WI 54911

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Other Identifiers 1

Medicaid43239600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theresa Lynn Schinke Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830133966

PECOS Enrollment IDI20050620000128

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

66 services32 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

49 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

39 services39 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL K THOMPSON O.D.

Optometrist

1301 E NORTHLAND AVE, SUITE A
APPLETON, WI 54911

Outagamie County (920) 734-8714

EYEWEAR SPECIALISTS, INC

Eyewear Supplier

1301 E NORTHLAND AVE, STE A
APPLETON, WI 54911

Outagamie County (920) 734-8714

DR. TODD ALAN DERKSEN DPM

Podiatrist (Foot & Ankle Surgery)

1301 E NORTHLAND AVE, STE B
APPLETON, WI 54911

Outagamie County (920) 731-1999

DR. TIMOTHY KEVIN TOUGAS DPM

Podiatrist (Primary Podiatric Medicine)

1301 E NORTHLAND AVE, SUITE B
APPLETON, WI 54911

Outagamie County (920) 731-1999

NORTHEAST WISCONSIN FOOT AND ANKLE ASSOC., S.C.

Podiatrist (Primary Podiatric Medicine)

1301 E NORTHLAND AVE, STE B
APPLETON, WI 54911

Outagamie County (920) 731-1999

MARK C AUSTIN MD

Ophthalmology

1301 E NORTHLAND AVE, STE A
APPLETON, WI 54911

Outagamie County (920) 734-8714

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Schinke's NPI number?

The NPI number for Theresa Schinke is 1043210594. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Where is Theresa Schinke located?

Theresa Schinke practices at 1301 E Northland Ave Ste B, Appleton, WI 54911. The listed phone number is (920) 731-1999.

What is Theresa Schinke's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Theresa Schinke enrolled in Medicare?

Yes. Theresa Schinke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theresa Schinke accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Theresa Schinke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Theresa Schinke affiliated with any hospitals?

According to CMS data, Theresa Schinke is affiliated with Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Theresa Schinke was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.