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MELISSA M KRAUSE PA
NPI 1760670772
Physician Assistant in Sheboygan, WI

Active since October 04, 2007PECOS EnrolledAccepts Medicare Assignment
1414 N TAYLOR DR, SHEBOYGAN, WI 53081(920) 476-6300(920) 328-1451 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa M Krause Pa NPPES

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

MELISSA M KRAUSE PA (NPI 1760670772) is an individual physician assistant in Sheboygan, Wisconsin, licensed in Wisconsin (2194) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with St Nicholas Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1760670772
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMELISSA M KRAUSECredential: PA
Location Address1414 N TAYLOR DRSheboygan, WI 53081-1988
Mailing Address11430 N Port Washington RdMequon, WI 53092-3414
Phone(920) 476-6300
Fax(920) 328-1451
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 4, 2007
Last NPPES UpdateJanuary 18, 2022
NPPES CertifiedJanuary 18, 2022
✔ NPI 1760670772 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 · 2194
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.
1414 N TAYLOR DR, Sheboygan, WI 53081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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

Melissa M Krause 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 ID3375632797
PECOS Enrollment IDI20071207000408
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 3

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 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.
66 services46 patients
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.
49 services37 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.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

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

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520044
Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims29 services$4.76 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 20

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

DR. LOUIE COULIS M.D.
Internal Medicine (Cardiovascular Disease)
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 458-9800
KENNETH SIEBELS OTR/L
Occupational Therapist
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 476-6300
MICHELLE VINE PT
Physical Therapist
1414 N TAYLOR DR, SUITE 105
SHEBOYGAN, WI 53081
Sheboygan County (920) 459-8475
EMILY JACOBSON DPT
Physical Therapist
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 476-6300
GRANT MICHAEL ROETHEL
Nurse Practitioner
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 476-6300
KRISTOPHER T. KNOUS OD
Optometrist
1414 N TAYLOR DR, SUITE 105
SHEBOYGAN, WI 53081
Sheboygan County (920) 208-7700
CARMEN RUIZ APNP
Nurse Practitioner (Family)
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 476-6300
DR. ALOYS LOUIS TAUSCHECK JR. M.D.,J.D.
Dermatology
1414 N TAYLOR DR, SUITE 144
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-3376

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 Melissa Krause's NPI number?

The NPI number for Melissa Krause is 1760670772. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Melissa Krause located?

Melissa Krause practices at 1414 N Taylor Dr, Sheboygan, WI 53081. The listed phone number is (920) 476-6300.

What is Melissa Krause's specialty?

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

Is Melissa Krause enrolled in Medicare?

Yes. Melissa Krause 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 Melissa Krause accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Melissa Krause 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 Melissa Krause affiliated with any hospitals?

According to CMS data, Melissa Krause is affiliated with St Nicholas Hospital and Holy Family Memorial.

When was this NPI record last updated?

The NPPES record for Melissa Krause was last updated on January 18, 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.