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NICHOLAS SCHENK M.D.
NPI 1659782324
Family Medicine in Washington, PA

Active since May 15, 2014PECOS EnrolledAccepts Medicare Assignment
95 LEONARD AVENUE, BUILDING 2 SECOND FLOOR, WASHINGTON, PA 15301(724) 223-3100 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2023, Sep 11, 2019 (2 updates tracked since 2019).

About Nicholas Schenk M.d. NPPES

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

NICHOLAS SCHENK M.D. (NPI 1659782324) is an individual family medicine provider in Washington, Pennsylvania, licensed in Pennsylvania (MT206023) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Promedica Monroe Regional Hospital, and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1659782324
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNICHOLAS SCHENKCredential: M.D.
Location Address95 LEONARD AVENUE, BUILDING 2 SECOND FLOORWashington, PA 15301
Mailing Address95 Leonard Avenue, Building 2 Second FloorWashington, PA 15301
Phone(724) 223-3100
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2014
Enumeration DateMay 15, 2014
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
✔ NPI 1659782324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · MT206023✔ Licensed in MI · 4301500340
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.
95 LEONARD AVENUE, Washington, PA 15301
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Secondary Practice Location 1

Location 1650 Stewart RdMonroe, MI 48162-4222 · Phone (734) 240-8430 · Fax (734) 240-8495

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Nicholas Schenk M.d. 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 ID8123323938
PECOS Enrollment IDI20190917001985
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

3

Medicare enrollment records show Nicholas Schenk reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upmc Washington
Same address
Family Medicine
95 LEONARD AVE, BLDG 2
Washington, PA 15301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 54 clinicians in this Medicare group
NPI 1922077205 (724) 223-3100
Promedica Monroe Physicians
200 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Michigan enrollment
  • 77 clinicians in this Medicare group
NPI 1194078055 (844) 373-0871
Mercy Memorial Hospital Corporation
204 mi
Endocrinology, Diabetes & Metabolism
718 N MACOMB ST
Monroe, MI 48162
  • Reassigned Medicare billing, Michigan enrollment
  • 59 clinicians in this Medicare group
NPI 1861636540 (734) 240-8840

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

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.
54 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 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.
17 services13 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230099
Location718 N Macomb StMonroe, MI 48162 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15301 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,470 services$1.62 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier13 claims52 services$1.53 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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHALIMA MEHTA
Family Medicine
95 LEONARD AVENUE, BUILDING 2 2ND FLOOR
WASHINGTON, PA 15301
Washington County (724) 223-3100
ALLISON WALTON M.D.
Family Medicine
95 LEONARD AVENUE, BUILDING 2 SECOND FLOOR
WASHINGTON, PA 15301
Washington County (724) 223-3100
LAUREN ASHLEIGH LOMBARDO MD
Student in an Organized Health Care Education/Training Program
95 LEONARD AVENUE, BUILDING 2, SUITE 200
WASHINGTON, PA 15301
Washington County (724) 223-1530
VANESSA MARTIK PA-C
Physician Assistant
95 LEONARD AVENUE, BUILDING 1 SUITE 202
WASHINGTON, PA 15301
Washington County (724) 206-0610
DR. BRUCE HILLMAN SCOTT M.D.
Family Medicine
95 LEONARD AVENUE, BUILDING 2 2ND FLOOR
WASHINGTON, PA 15301
Washington County (724) 223-3100
DR. DONALD ANTHONY RAVASIO DO
Orthopaedic Surgery
95 LEONARD AVENUE, BUILDING 1, SUITE 202
WASHINGTON, PA 15301
Washington County (724) 206-0610
JAMIE STEWART DO
Student in an Organized Health Care Education/Training Program
95 LEONARD AVENUE, BUILDING 2, SUITE 200
WASHINGTON, PA 15301
Washington County (724) 223-3100
MICHAEL ZANIC D.O.
Family Medicine
95 LEONARD AVENUE, BUILDING 2 SECOND FLOOR
WASAHINGTON, PA 15301
Washington County (724) 223-3100

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 Nicholas Schenk's NPI number?

The NPI number for Nicholas Schenk is 1659782324. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Nicholas Schenk located?

Nicholas Schenk practices at 95 Leonard Avenue Building 2 Second Floor, Washington, PA 15301. The listed phone number is (724) 223-3100.

What is Nicholas Schenk's specialty?

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

Is Nicholas Schenk enrolled in Medicare?

Yes. Nicholas Schenk 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 Nicholas Schenk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Schenk reassigns Medicare benefits to 3 organizations: Upmc Washington (Washington, PA), Promedica Monroe Physicians (Toledo, OH) and Mercy Memorial Hospital Corporation (Monroe, MI). 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 Nicholas Schenk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Schenk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Nicholas Schenk 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 Nicholas Schenk affiliated with any hospitals?

According to CMS data, Nicholas Schenk is affiliated with Promedica Monroe Regional Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Schenk was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.