SHEILA WALDROP THIEL MD
NPI 1265452296
Internal Medicine in De Pere, WI

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
200 S 9TH ST, DE PERE, WI 54115(414) 329-4979 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2024, Nov 29, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Sheila Waldrop Thiel Md NPPES

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

SHEILA WALDROP THIEL MD (NPI 1265452296) is an individual internal medicine provider in De Pere, Wisconsin, licensed in Wisconsin (45178) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265452296
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHEILA WALDROP THIELCredential: MD
Location Address200 S 9TH STDe Pere, WI 54115-1393
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1997
Enumeration DateJuly 20, 2006
Last NPPES UpdateJune 3, 20244 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
NPI 1265452296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 45178
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 45178 (WI)
200 S 9TH ST, De Pere, WI 54115

Secondary Practice Locations 3

Location 12845 Greenbrier Rd Ste 120Green Bay, WI 54311-6519 · Phone (920) 288-8100
Location 21818 N Meade StAppleton, WI 54911-3454 · Phone (920) 735-7645 · Fax (920) 735-7618
Location 32600 S Heritage Woods DrAppleton, WI 54915-1408 · Phone (920) 225-7875 · Fax (920) 993-5003

Other Identifiers 1

Medicaid34376100WI

Accepted 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

Sheila Waldrop Thiel Md 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 ID9638217839
PECOS Enrollment IDI20091109000445
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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
136 services59 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
76 services59 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
49 services40 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
28 services15 patients

Hospital Affiliations CMS Care Compare

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

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 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 2

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers24 claims24 services$18.99 avg. paid by Medicare
Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$55.75 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 20

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

Speech-Language Pathologist
200 S 9TH ST
DE PERE, WI 54115
Skilled Nursing Facility
200 S 9TH ST
DE PERE, WI 54115
Speech-Language Pathologist
200 S 9TH ST
DE PERE, WI 54115
Physical Therapy Assistant
200 S 9TH ST
DE PERE, WI 54115
Physical Therapist
200 S 9TH ST
DE PERE, WI 54115
Physical Therapy Assistant
200 S 9TH ST
DE PERE, WI 54115
Occupational Therapist
200 S 9TH ST
DE PERE, WI 54115
Physical Therapy Assistant
200 S 9TH ST
DE PERE, WI 54115

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 Sheila Thiel's NPI number?

The NPI number for Sheila Thiel is 1265452296. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Sheila Thiel located?

Sheila Thiel practices at 200 S 9th St, De Pere, WI 54115. The listed phone number is (414) 329-4979.

What is Sheila Thiel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sheila Thiel enrolled in Medicare?

Yes. Sheila Thiel 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 Sheila Thiel accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Sheila Thiel 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 Sheila Thiel affiliated with any hospitals?

According to CMS data, Sheila Thiel is affiliated with St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Sheila Thiel was last updated on June 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.