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JOHN WILLIAM CARPENTER MD
NPI 1982660684
Psychiatry & Neurology - Psychiatry in Sheboygan, WI

Active since April 22, 2006PECOS EnrolledAccepts Medicare Assignment
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081(920) 457-4461(920) 459-1483 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About John William Carpenter Md NPPES

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

JOHN WILLIAM CARPENTER MD (NPI 1982660684) is an individual psychiatry provider in Sheboygan, Wisconsin, licensed in Wisconsin (23736) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of Medical College Of Wisconsin (1980).

NPPES Registry Identity

NPI1982660684
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOHN WILLIAM CARPENTERCredential: MD
Location Address2414 KOHLER MEMORIAL DRSheboygan, WI 53081-3129
Mailing Address2414 Kohler Memorial DrSheboygan, WI 53081-3129 · (920) 457-4461 · Fax (920) 459-1483
Phone(920) 457-4461
Fax(920) 459-1483
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1980
Enumeration DateApril 22, 2006
Last NPPES UpdateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
✔ NPI 1982660684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 23736
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081
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Other Identifiers 1

Medicaid30588700WI

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John William Carpenter Md 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 ID4688682990
PECOS Enrollment IDI20060328000793
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
105 services18 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
22 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

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.

LAURA J MARKHAM PT
Physical Therapist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4461
HAILEE RAE KOHLHAGEN OD
Optometrist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4461
ERIN JESSIE HOLZMAN
Nurse Practitioner
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4461
KATRINA LAURA ARNOLD NP
Nurse Practitioner (Psychiatric/Mental Health)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4461
DR. PHILIP M. DETRANA M.D.
Internal Medicine (Pulmonary Disease)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4461
CHRISTINE JOEL DEBRUINE RN
Registered Nurse (Diabetes Educator)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 459-1164
DR. THOMAS MATTHEW AMBELANG MD
Family Medicine
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4461
DR. DAVID J FISHER M.D.
Radiology (Diagnostic Radiology)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4461

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 John Carpenter's NPI number?

The NPI number for John Carpenter is 1982660684. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is John Carpenter located?

John Carpenter practices at 2414 Kohler Memorial Dr, Sheboygan, WI 53081. The listed phone number is (920) 457-4461.

What is John Carpenter's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Carpenter enrolled in Medicare?

Yes. John Carpenter 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 John Carpenter accept?

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

According to CMS data, John Carpenter is affiliated with Aurora Health Care Central Inc, Aurora St Lukes Medical Center and Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for John Carpenter was last updated on November 30, 2021. 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.