DANE SCHULTZ
NPI 1649933748
Nurse Practitioner - Family in Fort Atkinson, WI

Q: What is Dane Schultz's NPI number?

The NPI number for Dane Schultz is 1649933748. It was assigned to this individual provider in the NPPES registry on October 16, 2021.

Q: What is Dane Schultz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dane Schultz was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 16, 2021PECOS EnrolledAccepts Medicare Assignment

611 SHERMAN AVE E, FORT ATKINSON, WI 53538(920) 563-5571 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2025, Oct 7, 2022, Oct 22, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Dane Schultz NPPES

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

DANE SCHULTZ (NPI 1649933748) is an individual family provider in Fort Atkinson, Wisconsin, licensed in Wisconsin (11311-11) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and maintains a secondary practice location in Whitewater.

NPPES Registry Identity

NPI1649933748

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDANE SCHULTZ

Location Address611 SHERMAN AVE EFort Atkinson, WI 53538-1960

Mailing AddressPo Box 249Fort Atkinson, WI 53538-0249 · (920) 568-6580 · Fax (920) 568-4004

Phone(920) 563-5571

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 16, 2021

Last NPPES UpdateDecember 17, 20254 updates tracked since enumeration

NPPES CertifiedDecember 17, 2025

✔ NPI 1649933748 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 · 11311-11

611 SHERMAN AVE E, Fort Atkinson, WI 53538

Open in Google Maps ↗

Secondary Practice Location 1

Location 11461 W Main StWhitewater, WI 53190-1568 · Phone (262) 473-5888

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, MercyCare Health Plans and more.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

Dane Schultz 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 ID6901296227

PECOS Enrollment IDI20211201000083

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.

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number520071

Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53538 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.

BONNIE L POPPY APNP

Nurse Practitioner