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DEREK SCHATTL
NPI 1679341879
Counselor - Professional in Kenosha, WI

Active since December 18, 2023PECOS Enrolled
1400 75TH ST, KENOSHA, WI 53143(262) 909-6008(262) 764-8048 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Schattl NPPES

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

DEREK SCHATTL (NPI 1679341879) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (7544-226) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679341879
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDEREK SCHATTL
Location Address1400 75TH STKenosha, WI 53143-1544
Mailing Address6328 73rd St Apt 106Kenosha, WI 53142-3501
Phone(262) 909-6008
Fax(262) 764-8048
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 18, 2023
NPPES CertifiedDecember 17, 2023
✔ NPI 1679341879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 7544-226
1400 75TH ST, Kenosha, WI 53143
Open in Google Maps ↗

Secondary Practice Locations 3

Location 117 Park Pl Ste 400Appleton, WI 54914-8271 · Phone (920) 574-3096 · Fax (920) 574-3385
Location 22545 Roosevelt Rd Ste 105Marinette, WI 54143-3885 · Phone (715) 701-4456 · Fax (715) 701-2030
Location 310012 W Capitol DrMilwaukee, WI 53222-1338 · Phone (414) 810-4844 · Fax (414) 810-4845

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Schattl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375010507
PECOS Enrollment IDI20260424002986
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.

Other Providers at the Same Location NPPES 16

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

JAMI LYNN POMEROY LPC
Counselor
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
DR. MARY PATRICIA ELDRIDGE M.D.
General Practice
1400 75TH ST, SUITE #5
KENOSHA, WI 53143
Kenosha County (262) 656-1911
E JOHN ELDRIDGE MD SC
Ophthalmology
1400 75TH ST, SUITE 3
KENOSHA, WI 53143
Kenosha County (262) 652-9500
NINA ORLANDO
Counselor (Mental Health)
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
MEGHAN KELLEY JANER
Counselor (Professional)
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
SARA CUMMINGS
Social Worker
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
TYLOR ROCKWELL
Nurse Practitioner (Psychiatric/Mental Health)
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008
DENISE M GILANYI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1400 75TH ST
KENOSHA, WI 53143
Kenosha County (262) 909-6008

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 Derek Schattl's NPI number?

The NPI number for Derek Schattl is 1679341879. It was assigned to this individual provider in the NPPES registry on December 18, 2023.

Where is Derek Schattl located?

Derek Schattl practices at 1400 75th St, Kenosha, WI 53143. The listed phone number is (262) 909-6008.

What is Derek Schattl's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Derek Schattl enrolled in Medicare?

Yes. Derek Schattl is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derek Schattl was last updated on December 18, 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.