SHEALA RAE PINTER NP
NPI 1578031035
Nurse Practitioner - Family in Medford, WI

Q: What is Sheala Pinter's NPI number?

The NPI number for Sheala Pinter is 1578031035. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Q: What is Sheala Pinter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: Is Sheala Pinter enrolled in Medicare?

No. Sheala Pinter has opted out of Medicare through December 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Sheala Pinter was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 02, 2018Opted out of Medicare · through Dec 9, 2027

100/100

CMS Quality Rating

135 S GIBSON ST, MEDFORD, WI 54451(715) 748-8100 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2023, Nov 2, 2018 (2 updates tracked since 2018).

On this page

About Sheala Rae Pinter Np NPPES

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

SHEALA RAE PINTER NP (NPI 1578031035) is an individual family provider in Medford, Wisconsin, licensed in Wisconsin (8840-33) and active in the NPI registry since November 2018. She has opted out of Medicare through December 9, 2027 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578031035

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHEALA RAE PINTERCredential: NP

Location Address135 S GIBSON STMedford, WI 54451-1622

Mailing Address135 S Gibson StMedford, WI 54451-1622

Phone(715) 748-8100

Sole ProprietorNo

Enumeration DateNovember 2, 2018

Last NPPES UpdateFebruary 20, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2023

✔ NPI 1578031035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 8840-33

135 S GIBSON ST, Medford, WI 54451

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1124 N Main StGreenwood, WI 54437-9419 · Phone (715) 284-2003 · Fax (844) 285-4399

Location 2502 Main StBlack River Falls, WI 54615-1648 · Phone (715) 284-2003 · Fax (844) 285-4399

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sheala Rae Pinter Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 9, 2025 through December 9, 2027.

Opt-Out Effective DateDecember 9, 2025

Opt-Out In Effect ThroughDecember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54451 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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers12 claims25 services$6.57 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier12 claims12 services$44.88 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.

ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.

Skilled Nursing Facility