MS. LATISHA A SMITH-CHASE M.D.
NPI 1154349900
Preventive Medicine - Undersea and Hyperbaric Medicine in Johnson Creek, WI

Q: What is Latisha Smith-chase's NPI number?

The NPI number for Latisha Smith-chase is 1154349900. It was assigned to this individual provider in the NPPES registry on July 18, 2006. The provider is also known as Latisha Smith M.D..

Q: What is Latisha Smith-chase's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment

400 DOCTORS CT, JOHNSON CREEK, WI 53038(920) 699-4000 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2026, Oct 7, 2022, Oct 6, 2020 and 2 more (5 updates tracked since 2017).

On this page

About Ms. Latisha A Smith-chase M.d. NPPES

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

MS. LATISHA A SMITH-CHASE M.D. (NPI 1154349900) is an individual undersea and hyperbaric medicine provider in Johnson Creek, Wisconsin, licensed in Wisconsin (73794-20) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of Hahnemann University College Of Medicine (1983).

NPPES Registry Identity

NPI1154349900

Entity TypeIndividualFemale

Primary Taxonomy2083P0011X

Provider Legal NameMS. LATISHA A SMITH-CHASECredential: M.D.

Location Address400 DOCTORS CTJohnson Creek, WI 53038-9567

Mailing AddressPo Box 249Fort Atkinson, WI 53538-0249 · (920) 563-4466

Phone(920) 699-4000

Sole ProprietorYes

Medical School CMSHahnemann University College Of MedicineGraduated 1983

Enumeration DateJuly 18, 2006

Last NPPES UpdateMay 18, 20265 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1154349900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0011X

License✔ Licensed in WI · 73794-20

Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Also ListedInternal MedicineTaxonomy 207R00000X · License 73794-20 (WI)

400 DOCTORS CT, Johnson Creek, WI 53038

Open in Google Maps ↗

Other Names 1

Former Name (1)Latisha Smith M.d.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan, Group Health Cooperative-SCW, MercyCare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Latisha A Smith-chase M.d. 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 ID3274714431

PECOS Enrollment IDI20201013002513

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.

Medicare Billing Reassignment

Medicare enrollment records show Latisha Smith-chase reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fort Healthcare, Inc.

11 mi

General Acute Care Hospital

611 SHERMAN AVE E
Fort Atkinson, WI 53538

Reassigned Medicare billing, Wisconsin enrollment
298 clinicians in this Medicare group

NPI 1811916281 (920) 568-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

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.

535 services111 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

223 services28 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

197 services55 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.

85 services63 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

44 services31 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.

36 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number520071

Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County

Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

Watertown Memorial Hospital

Acute Care Hospitals · Watertown, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520116

Location125 Hospital DriveWatertown, WI 53098 · Dodge County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53038 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

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

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Collagen dressing, sterile, size 16 sq. in. or less, each A6021

DME-Medical/Surgical Supplies · category DA023N

6 suppliers19 claims268 services$20.20 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

6 suppliers32 claims426 services$8.99 avg. paid by Medicare

Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each A6545

DME-Medical/Surgical Supplies · category DA000N

4 suppliers17 claims22 services$78.49 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

3 suppliers13 claims44 services$7.43 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MRS. ANGELA R. ADLER OTR

Occupational Therapist

400 DOCTORS CT
JOHNSON CREEK, WI 53038

Jefferson County (920) 699-4245

BARBARA J KELLY OTR

Occupational Therapist

400 DOCTORS CT
JOHNSON CREEK, WI 53038

Jefferson County (920) 699-4245

GUILLERMO MIGUEL VALENZUELA CORTEZ MD

Internal Medicine

400 DOCTORS CT
JOHNSON CREEK, WI 53038

Jefferson County (920) 699-4245

DR. DAVID A MISORSKI MD

Family Medicine

400 DOCTORS CT
JOHNSON CREEK, WI 53038

Jefferson County (920) 699-4000

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 Latisha Smith-chase's NPI number?

The NPI number for Latisha Smith-chase is 1154349900. It was assigned to this individual provider in the NPPES registry on July 18, 2006. The provider is also known as Latisha Smith M.D..

Where is Latisha Smith-chase located?

Latisha Smith-chase practices at 400 Doctors Ct, Johnson Creek, WI 53038. The listed phone number is (920) 699-4000.

What is Latisha Smith-chase's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

Is Latisha Smith-chase enrolled in Medicare?

Yes. Latisha Smith-chase 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.

Which organization bills Medicare for Latisha Smith-chase's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latisha Smith-chase reassigns Medicare benefits to Fort Healthcare, Inc. (Fort Atkinson, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latisha Smith-chase's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latisha Smith-chase accept?

Health plans from Dean Health Plan, Group Health Cooperative-SCW, MercyCare, MercyCare Health Plans and Quartz list Latisha Smith-chase 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 Latisha Smith-chase affiliated with any hospitals?

According to CMS data, Latisha Smith-chase is affiliated with Fort Memorial Hospital, Ssm Health St Mary's Hospital - Madison and Watertown Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Latisha Smith-chase was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.