JOHN P SCHMIDT
NPI 1477094993
Nurse Practitioner in Burlington, WI

Active since March 16, 2017PECOS EnrolledAccepts Medicare Assignment
252 MCHENRY ST, BURLINGTON, WI 53105(262) 767-6000(262) 767-6098 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2023, Nov 19, 2021, May 29, 2019 and 1 more (4 updates tracked since 2017).

About John P Schmidt NPPES

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

JOHN P SCHMIDT (NPI 1477094993) is an individual nurse practitioner in Burlington, Wisconsin, licensed in Wisconsin (7593) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1477094993
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJOHN P SCHMIDT
Location Address252 MCHENRY STBurlington, WI 53105-1828
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (262) 767-6000
Fax(262) 767-6098
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 16, 2017
Last NPPES UpdateOctober 31, 20234 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1477094993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in WI · 7593 Licensed in TX · F03170378
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
252 MCHENRY ST, Burlington, WI 53105

Other Identifiers 1

Medicaid100066270WI

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

John P Schmidt 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 ID1951679034
PECOS Enrollment IDI20170809001118
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

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520059
Location252 Mchenry StBurlington, WI 53105 · Racine County
Emergency services

Aurora Lakeland Medical Center

Acute Care Hospitals · Elkhorn, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520102
LocationW3985 County Road NnElkhorn, WI 53121 · Walworth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53105 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
$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.

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.

Physical Therapy Assistant
252 MCHENRY ST
BURLINGTON, WI 53105
Hospitalist
252 MCHENRY ST
BURLINGTON, WI 53105
Nurse Practitioner
252 MCHENRY ST
BURLINGTON, WI 53105
Anesthesiology
252 MCHENRY ST
BURLINGTON, WI 53105
Nurse Practitioner
252 MCHENRY ST
BURLINGTON, WI 53105
Emergency Medicine (Emergency Medical Services)
252 MCHENRY ST
BURLINGTON, WI 53105
Physician Assistant
252 MCHENRY ST
BURLINGTON, WI 53105
Emergency Medicine
252 MCHENRY ST
BURLINGTON, WI 53105

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 John Schmidt's NPI number?

The NPI number for John Schmidt is 1477094993. It was assigned to this individual provider in the NPPES registry on March 16, 2017.

Where is John Schmidt located?

John Schmidt practices at 252 Mchenry St, Burlington, WI 53105. The listed phone number is (262) 767-6000.

What is John Schmidt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is John Schmidt enrolled in Medicare?

Yes. John Schmidt 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 John Schmidt accept?

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

According to CMS data, John Schmidt is affiliated with Aurora Memorial Hospital Burlington and Aurora Lakeland Medical Center.

When was this NPI record last updated?

The NPPES record for John Schmidt was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.