KATHLEEN SCHWARTZ
NPI 1811884398
Nurse Practitioner - Family in Waukesha, WI

Active since June 18, 2025PECOS EnrolledAccepts Medicare Assignment
N20W22961 WATERTOWN RD, WAUKESHA, WI 53186(262) 875-5070 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2025, Jun 18, 2025 (2 updates tracked since 2025).

About Kathleen Schwartz NPPES

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

KATHLEEN SCHWARTZ (NPI 1811884398) is an individual family provider in Waukesha, Wisconsin, licensed in Wisconsin (16920-33) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1811884398
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN SCHWARTZ
Location AddressN20W22961 WATERTOWN RDWaukesha, WI 53186-1306
Mailing AddressN20w22961 Watertown RdWaukesha, WI 53186-1308 · (262) 875-5070 · Fax (866) 384-9486
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 18, 2025
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1811884398 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 · 16920-33
N20W22961 WATERTOWN RD, Waukesha, WI 53186

Accepted 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

Kathleen Schwartz 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 ID6709392814
PECOS Enrollment IDI20250723003981
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

2

Medicare enrollment records show Kathleen Schwartz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Internal Medicine
N20W22961 WATERTOWN RD
Waukesha, WI 53186
  • Reassigned Medicare billing, Wisconsin enrollment
  • 191 clinicians in this Medicare group
Physical Medicine & Rehabilitation
2428 N GRANDVIEW BLVD STE 102
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • 141 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 3

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

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

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

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53186 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.

Nurse Practitioner
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Psychiatry & Neurology (Geriatric Psychiatry)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Nurse Practitioner (Psychiatric/Mental Health)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Nurse Practitioner
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Nurse Practitioner (Family)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Nurse Practitioner (Acute Care)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Nurse Practitioner (Family)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186
Nurse Practitioner (Gerontology)
N20W22961 WATERTOWN RD
WAUKESHA, WI 53186

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 Kathleen Schwartz's NPI number?

The NPI number for Kathleen Schwartz is 1811884398. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Kathleen Schwartz located?

Kathleen Schwartz practices at N20w22961 Watertown Rd, Waukesha, WI 53186. The listed phone number is (262) 875-5070.

What is Kathleen Schwartz's specialty?

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

Is Kathleen Schwartz enrolled in Medicare?

Yes. Kathleen Schwartz 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 Kathleen Schwartz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Schwartz reassigns Medicare benefits to 2 organizations: Oak Medical Sc (Waukesha, WI) and Maple Medical Sc (Waukesha, WI). 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 Kathleen Schwartz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Schwartz accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Kathleen Schwartz 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 Kathleen Schwartz affiliated with any hospitals?

According to CMS data, Kathleen Schwartz is affiliated with St Mary's Hospital Medical Center, Holy Family Memorial and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Kathleen Schwartz was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.