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MRS. CLAIRE M SCHALLHORN APNP, FNP-C
NPI 1922741719
Nurse Practitioner in Union Grove, WI

Active since April 19, 2022PECOS EnrolledAccepts Medicare Assignment
4320 67TH DR, UNION GROVE, WI 53182(262) 878-1211 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 25, 2023, Apr 19, 2022 (2 updates tracked since 2022).

About Mrs. Claire M Schallhorn Apnp, Fnp-c NPPES

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

MRS. CLAIRE M SCHALLHORN APNP, FNP-C (NPI 1922741719) is an individual nurse practitioner in Union Grove, Wisconsin, licensed in Wisconsin (11880) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922741719
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. CLAIRE M SCHALLHORNCredential: APNP, FNP-C
Location Address4320 67TH DRUnion Grove, WI 53182-9338
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 878-1211
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 19, 2022
Last NPPES UpdateDecember 20, 20232 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
✔ NPI 1922741719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 11880
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 F02220846 (WI)
4320 67TH DR, Union Grove, WI 53182
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Other Names 1

Former Name (1)Miss Claire M Borland

Other Identifiers 1

Medicaid100253508WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Mrs. Claire M Schallhorn Apnp, Fnp-c 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 ID2365899879
PECOS Enrollment IDI20231106000688
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

3

Medicare enrollment records show Claire Schallhorn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeshore Medical Clinic Ltd
18 mi
Family Medicine
1100 MILWAUKEE AVE
South Milwaukee, WI 53172
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
NPI 1174851893 (414) 764-4003
Aurora Medical Group, Inc.
22 mi
Family Medicine
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1427271378 (877) 576-3544
Aurora Advanced Healthcare, Inc.
32 mi
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
NPI 1265629133 (414) 352-3100

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

Areas of Expertise CMS Part B claims

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 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53182 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 4

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

AURORA MEDICAL GROUP, INC.
Durable Medical Equipment & Medical Supplies
4320 67TH DR
UNION GROVE, WI 53182
Racine County (262) 878-1211
DANIEL J HALLER MD
Family Medicine
4320 67TH DR
UNION GROVE, WI 53182
Racine County (262) 878-1211
THOMAS D PORTER NP
Nurse Practitioner
4320 67TH DR
UNION GROVE, WI 53182
Racine County (262) 878-1211
DR. GERALD A DEMERS MD
Family Medicine
4320 67TH DR
UNION GROVE, WI 53182
Racine County (262) 878-1211

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 Claire Schallhorn's NPI number?

The NPI number for Claire Schallhorn is 1922741719. It was assigned to this individual provider in the NPPES registry on April 19, 2022. The provider is also known as Miss Claire M Borland.

Where is Claire Schallhorn located?

Claire Schallhorn practices at 4320 67th Dr, Union Grove, WI 53182. The listed phone number is (262) 878-1211.

What is Claire Schallhorn's specialty?

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

Is Claire Schallhorn enrolled in Medicare?

Yes. Claire Schallhorn 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 Claire Schallhorn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Schallhorn reassigns Medicare benefits to 3 organizations: Lakeshore Medical Clinic Ltd (South Milwaukee, WI), Aurora Medical Group, Inc. (Milwaukee, WI) and Aurora Advanced Healthcare, Inc. (Milwaukee, 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 Claire Schallhorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claire Schallhorn accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Claire Schallhorn 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 Claire Schallhorn affiliated with any hospitals?

According to CMS data, Claire Schallhorn is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Claire Schallhorn was last updated on December 20, 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.