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NICOLE A SCHMITZ DO
NPI 1528709250
Family Medicine in Neillsville, WI

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
N3708 RIVER AVE, NEILLSVILLE, WI 54456(715) 743-3101 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2026, Sep 3, 2025, Apr 5, 2022 (3 updates tracked since 2022).

About Nicole A Schmitz Do NPPES

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

NICOLE A SCHMITZ DO (NPI 1528709250) is an individual family medicine provider in Neillsville, Wisconsin, licensed in Wisconsin (81343) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains a secondary practice location in Eau Claire.

NPPES Registry Identity

NPI1528709250
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE A SCHMITZCredential: DO
Location AddressN3708 RIVER AVENeillsville, WI 54456-7218
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Phone(715) 743-3101
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1528709250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 81343
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
N3708 RIVER AVE, Neillsville, WI 54456
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Secondary Practice Location 1

Location 1617 W Clairemont AveEau Claire, WI 54701-6223 · Phone (715) 839-5175

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Security Health Plan.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

Nicole A Schmitz Do 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 ID4082095344
PECOS Enrollment IDI20250226000907
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 Reassignments

6

Medicare enrollment records show Nicole Schmitz reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorial Hospital Inc
Same address
Critical Access
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,440 clinicians in this Medicare group
NPI 1346239373 (715) 743-3101
Marshfield Clinic Inc
22 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Mchs Hospitals Inc
22 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
NPI 1093221434 (715) 387-5511
Lakeview Medical Center Inc Of Rice Lake
73 mi
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
NPI 1659008605 (715) 924-2000
Flambeau Hospital Inc
95 mi
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
NPI 1194317966 (715) 762-2484
Beaver Dam Community Hospitals Inc
114 mi
Family Medicine
180 GATEWAY DR
Waupun, WI 53963
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
NPI 1629374780 (920) 345-1306

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

Hospital Affiliations CMS Care Compare 2

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Neillsville

Critical Access Hospitals · Neillsville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521323
LocationN3708 River AveNeillsville, WI 54456 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54456 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.

MARK EDWARD REINHARDT PT
Physical Therapist
N3708 RIVER AVE
NEILLSVILLE, WI 54456
Clark County (715) 743-3101
MEMORIAL HOSPITAL INC
Clinic/Center
N3708 RIVER AVE
NEILLSVILLE, WI 54456
Clark County (715) 743-3101
MATTHEW CLIFFORD STOFLET MD
Internal Medicine
N3708 RIVER AVE
NEILLSVILLE, WI 54456
Clark County (715) 819-8468
SARA D'ANNE SMITH DNP
Nurse Practitioner (Family)
N3708 RIVER AVE
NEILLSVILLE, WI 54456
Clark County (715) 819-8468
JORDYN DEAN PIEPER PA-C
Physician Assistant
N3708 RIVER AVE
NEILLSVILLE, WI 54456
Clark County (715) 743-3101
MEMORIAL HOSPITAL INC
Medicare Defined Swing Bed Unit
N3708 RIVER AVE
NEILLSVILLE, WI 54456
Clark County (715) 743-3101
JENNIFER ROSE BOON NP
Nurse Practitioner
N3708 RIVER AVE
NEILLSVILLE, WI 54456
Clark County (715) 819-8343
DAVID R JONES MD
Emergency Medicine
N3708 RIVER AVE
NEILLSVILLE, WI 54456
Clark County (715) 743-8298

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 Nicole Schmitz's NPI number?

The NPI number for Nicole Schmitz is 1528709250. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Nicole Schmitz located?

Nicole Schmitz practices at N3708 River Ave, Neillsville, WI 54456. The listed phone number is (715) 743-3101.

What is Nicole Schmitz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Schmitz enrolled in Medicare?

Yes. Nicole Schmitz 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 organizations bill Medicare for Nicole Schmitz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Schmitz reassigns Medicare benefits to 6 organizations: Memorial Hospital Inc (Neillsville, WI), Marshfield Clinic Inc (Marshfield, WI), Mchs Hospitals Inc (Marshfield, WI), Lakeview Medical Center Inc Of Rice Lake (Chetek, WI), Flambeau Hospital Inc (Park Falls, WI) and 1 more organization, listed in the Medicare section above. Each 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 Nicole Schmitz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Schmitz accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Nicole Schmitz 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 Nicole Schmitz affiliated with any hospitals?

According to CMS data, Nicole Schmitz is affiliated with Marshfield Medical Center and Marshfield Medical Center - Neillsville.

When was this NPI record last updated?

The NPPES record for Nicole Schmitz was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.