MS. DEBRA J SCHMIDT APNP
NPI 1558314849
Nurse Practitioner - Pediatrics in Milwaukee, WI

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY/ONCOLOGY, MILWAUKEE, WI 53226(414) 456-4170(414) 456-6543 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Debra J Schmidt Apnp NPPES

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

MS. DEBRA J SCHMIDT APNP (NPI 1558314849) is an individual pediatrics provider in Milwaukee, Wisconsin, licensed in Wisconsin (1548) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Childrens Hospital Of Wisconsin, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1558314849
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. DEBRA J SCHMIDTCredential: APNP
Location Address9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY/ONCOLOGYMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin Ave, Pediatric Hematology/oncologyMilwaukee, WI 53226-4874 · (414) 456-4170 · Fax (414) 456-6543
Fax(414) 456-6543
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 18, 2006
Last NPPES UpdateSeptember 30, 2013
NPI 1558314849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in WI · 1548
9000 W WISCONSIN AVE, Milwaukee, WI 53226

Other Identifiers 3

Medicaid1558314849WI
Medicare PIN033T 73-601WI
Medicare UPINQ65907

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

Ms. Debra J Schmidt Apnp 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 ID9133136906
PECOS Enrollment IDI20060320000478
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.

Hospital Affiliations CMS Care Compare

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

Childrens Hospital Of Wisconsin

Childrens · Milwaukee, WI
OwnershipVoluntary non-profit - Other
CMS Certification Number523300
Location9000 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226

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 Debra Schmidt's NPI number?

The NPI number for Debra Schmidt is 1558314849. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Debra Schmidt located?

Debra Schmidt practices at 9000 W Wisconsin Ave Pediatric Hematology/Oncology, Milwaukee, WI 53226. The listed phone number is (414) 456-4170.

What is Debra Schmidt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Debra Schmidt enrolled in Medicare?

Yes. Debra 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 Debra Schmidt accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Debra 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 Debra Schmidt affiliated with any hospitals?

According to CMS data, Debra Schmidt is affiliated with Childrens Hospital Of Wisconsin.

When was this NPI record last updated?

The NPPES record for Debra Schmidt was last updated on September 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.