SHELLY K SCHMOLLER PA
NPI 1639480189
Physician Assistant in Madison, WI

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment
97.59/100
CMS Quality Rating
700 S PARK ST STE A, MADISON, WI 53715(608) 260-2900(608) 260-3447 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2024, Mar 25, 2016 (2 updates tracked since 2016).

About Shelly K Schmoller Pa NPPES

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

SHELLY K SCHMOLLER PA (NPI 1639480189) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (2601-23) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1639480189
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHELLY K SCHMOLLERCredential: PA
Location Address700 S PARK ST STE AMadison, WI 53715-1830
Mailing Address700 S Park St Ste AMadison, WI 53715-1830 · (608) 260-2900 · Fax (608) 260-3447
Fax(608) 260-3447
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 30, 2010
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
NPI 1639480189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 2601-23
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

700 S PARK ST STE A, Madison, WI 53715

Other Identifiers 1

Medicaid1639480189WI

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

Shelly K Schmoller Pa 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 ID244419737
PECOS Enrollment IDI20110131000339
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services32 patients
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.
31 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

The Monroe Clinic

Acute Care Hospitals · Monroe, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

97.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.16
Improvement Activities40

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.

Physician Assistant
700 S PARK ST STE A
MADISON, WI 53715
Pain Medicine (Pain Medicine)
700 S PARK ST STE A
MADISON, WI 53715
Internal Medicine (Interventional Cardiology)
700 S PARK ST STE A
MADISON, WI 53715
Internal Medicine (Interventional Cardiology)
700 S PARK ST STE A
MADISON, WI 53715
Physician Assistant
700 S PARK ST STE A
MADISON, WI 53715
Psychiatry & Neurology (Neurology)
700 S PARK ST STE A
MADISON, WI 53715
Nurse Practitioner
700 S PARK ST STE A
MADISON, WI 53715
Psychiatry & Neurology (Neurology)
700 S PARK ST STE A
MADISON, WI 53715

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 Shelly Schmoller's NPI number?

The NPI number for Shelly Schmoller is 1639480189. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Shelly Schmoller located?

Shelly Schmoller practices at 700 S Park St Ste A, Madison, WI 53715. The listed phone number is (608) 260-2900.

What is Shelly Schmoller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shelly Schmoller enrolled in Medicare?

Yes. Shelly Schmoller 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 Shelly Schmoller accept?

Health plans from Anthem Blue Cross and Blue Shield list Shelly Schmoller 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 Shelly Schmoller affiliated with any hospitals?

According to CMS data, Shelly Schmoller is affiliated with The Monroe Clinic, Ssm Health St Mary's Hospital - Madison and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Shelly Schmoller was last updated on December 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.