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MELISSA A SCHWAB FNP
NPI 1912633363
Nurse Practitioner in Stoughton, WI

Active since July 28, 2022PECOS EnrolledAccepts Medicare Assignment
225 CHURCH ST, STOUGHTON, WI 53589(608) 877-2777(608) 877-2774 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 21, 2022, Jul 28, 2022 (2 updates tracked since 2022).

About Melissa A Schwab Fnp NPPES

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

MELISSA A SCHWAB FNP (NPI 1912633363) is an individual nurse practitioner in Stoughton, Wisconsin, licensed in Wisconsin (13157-33) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912633363
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELISSA A SCHWABCredential: FNP
Location Address225 CHURCH STStoughton, WI 53589-1801
Mailing Address225 Church StStoughton, WI 53589-1801 · (608) 877-2777 · Fax (608) 877-2774
Phone(608) 877-2777
Fax(608) 877-2774
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 28, 2022
Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
✔ NPI 1912633363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 13157-33
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 13157 (WI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
225 CHURCH ST, Stoughton, WI 53589
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Other Identifiers 1

Medicaid1912633363WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 A Schwab Fnp 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 ID7416323100
PECOS Enrollment IDI20221020003025
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 9

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
203 services158 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.
170 services120 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.
159 services126 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.
109 services109 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
69 services63 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
33 services33 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520208
Location3400 East Racine StreetJanesville, WI 53546 · Rock County
Emergency services Birthing friendly

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53589 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.

JON D BLACKMAN OD
Optometrist
225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589
Dane County (608) 877-2700
DEAN G KRESGE MD
Family Medicine
225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589
Dane County (608) 877-2700
RICHARD W HILL MD
Family Medicine
225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589
Dane County (608) 877-2700
RONALD E BERESKY MD
Surgery
225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589
Dane County (608) 877-2700
KAREN SORENSON-LAVALLEY PA-C
Physician Assistant (Medical)
225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589
Dane County (608) 877-2700
NEIL C. JOHNSON NP
Nurse Practitioner
225 CHURCH ST
STOUGHTON, WI 53589
Dane County (608) 877-2777
RICHARD G RILLING MD
Orthopaedic Surgery
225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589
Dane County (608) 877-2700
DEAN HEALTH SYSTEMS, INC.
Durable Medical Equipment & Medical Supplies
225 CHURCH ST
STOUGHTON, WI 53589
Dane County (608) 877-2777

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 Schwab's NPI number?

The NPI number for Melissa Schwab is 1912633363. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Where is Melissa Schwab located?

Melissa Schwab practices at 225 Church St, Stoughton, WI 53589. The listed phone number is (608) 877-2777.

What is Melissa Schwab's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melissa Schwab enrolled in Medicare?

Yes. Melissa Schwab 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 Schwab accept?

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

According to CMS data, Melissa Schwab is affiliated with Ssm Health St Mary's Hospital - Madison, Ssm Health St Mary's Hospital - Janesville and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Schwab was last updated on September 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.