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SHEILA M. OPELT
NPI 1750732111
Physician Assistant - Surgical in Madison, WI

Active since June 28, 2016PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
600 HIGHLAND AVE, MADISON, WI 53792(608) 263-1384(608) 262-5624 Get Directions Write a Review

NPPES record last updated: July 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2022, Oct 27, 2020, Jan 16, 2018 and 3 more (6 updates tracked since 2016).

About Sheila M. Opelt NPPES

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

SHEILA M. OPELT (NPI 1750732111) is an individual surgical provider in Madison, Wisconsin, licensed in Wisconsin (3776-23) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1750732111
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHEILA M. OPELT
Location Address600 HIGHLAND AVEMadison, WI 53792-2236
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 263-1384
Fax(608) 262-5624
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 28, 2016
Last NPPES UpdateJuly 3, 20226 updates tracked since enumeration
NPPES CertifiedJuly 3, 2022
✔ NPI 1750732111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WI · 3776-23
Also ListedPhysician AssistantTaxonomy 363A00000X · License 3776-023 (WI)
600 HIGHLAND AVE, Madison, WI 53792
Open in Google Maps ↗

Secondary Practice Location 1

Location 1752 N High Point RdMadison, WI 53717-2236 · Phone (608) 824-4000 · Fax (608) 824-4917

Other Identifiers 1

Medicaid1750732111WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Group Health Cooperative-SCW.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

Sheila M. Opelt 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 ID143513085
PECOS Enrollment IDI20160729000596
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.

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

JASON ALAN CHRISTENSEN PHARMD
Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Dane County (608) 662-0817
LAURA JEAN KOPPLIN MD, PHD
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6070
HAGGI MAZEH MD
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 265-8072
DR. SWAPNIL SUNIL LANJEWAR M.D.
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-0946
DR. MATTHEW JAMES HOYT M.D.
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
VANESSA MERCEDES WELTEN MD MPH
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (617) 732-5500
JOHN HENRY NORMAN HARRISON
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
PIPPA FROUKTE COSPER MD
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8500

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 Sheila Opelt's NPI number?

The NPI number for Sheila Opelt is 1750732111. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Sheila Opelt located?

Sheila Opelt practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-1384.

What is Sheila Opelt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Sheila Opelt enrolled in Medicare?

Yes. Sheila Opelt 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 Sheila Opelt accept?

Health plans from Aspirus Health Plan and Group Health Cooperative-SCW list Sheila Opelt 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 Sheila Opelt affiliated with any hospitals?

According to CMS data, Sheila Opelt is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Sheila Opelt was last updated on July 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.