Active NPI 1760670772 Individual Practitioner Female Practitioner

Melissa M Krause , PA

Physician Assistant • Sheboygan, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Melissa Krause, PA is a certified Physician Assistant practicing in Sheboygan, WI. With approximately 19 years of clinical experience since completing medical education in 2007, Melissa Krause delivers high-quality medical care to the local community at 1414 N TAYLOR DR.

Melissa Krause is affiliated with Froedtert Manitowoc Medical Group, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, blood test, clotting time. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1414 N Taylor Dr

Sheboygan, WI 530811988

Telephone 9204766300

Fax 9203281451

Associated Practice Facility / Clinic

🏢 Sheboygan Urology Specialists, S.c. Facility NPI 1518956309

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sheboygan, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +6.5 yrs vs City Avg

City Avg: 12.5 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

43 Specialists

Practicing in Sheboygan, WI (3517 Statewide)

Telehealth Adoption Rate

4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Krause (19 Years) 19 Yrs

Sheboygan Specialty Average (12.5 Years) 12.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	46	$465.64	$104.20
99213 Established patient office or other outpatient visit, typically 15 minutes	49	37	$302.50	$73.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$510.67	$106.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	36	$424.45	$103.63
99213 Established patient office or other outpatient visit, typically 15 minutes	53	45	$273.63	$73.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$434.29	$105.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	48	$255.86	$73.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	31	$379.50	$102.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$377.47	$107.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	82	$173.22	$74.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	73	$261.27	$106.09
85610 Blood test, clotting time	93	47	$51.72	$4.29
36415 Insertion of needle into vein for collection of blood sample	41	34	$36.44	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	28	26	$57.79	$7.77
80053 Blood test, comprehensive group of blood chemicals	26	25	$86.38	$10.56
80061 Blood test, lipids (cholesterol and triglycerides)	21	20	$82.14	$13.39
83036 Hemoglobin A1C level	11	11	$38.91	$9.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	66	$250.31	$88.87
99213 Established patient office or other outpatient visit, typically 15 minutes	66	57	$163.38	$61.76
36415 Insertion of needle into vein for collection of blood sample	46	42	$35.59	$2.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	30	28	$56.40	$7.73
80053 Blood test, comprehensive group of blood chemicals	30	29	$83.60	$10.50
85610 Blood test, clotting time	25	21	$49.28	$4.26
80061 Blood test, lipids (cholesterol and triglycerides)	17	17	$80.12	$13.34
84443 Blood test, thyroid stimulating hormone (TSH)	12	12	$123.50	$16.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$134.17	$37.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	78	$162.00	$58.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	82	$246.00	$87.77
85610 Blood test, clotting time	26	23	$48.00	$4.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$130.00	$37.11
36415 Insertion of needle into vein for collection of blood sample	14	13	$35.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	13	$55.00	$8.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
85610 Blood test, clotting time	240	78	$47.37	$4.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	143	68	$127.37	$35.46
99213 Established patient office or other outpatient visit, typically 15 minutes	103	60	$159.04	$58.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$241.95	$87.36
36415 Insertion of needle into vein for collection of blood sample	34	29	$34.41	$2.88
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	21	21	$53.76	$9.09
80048 Blood test, basic group of blood chemicals (calcium, total)	15	14	$63.67	$10.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
85610 Blood test, clotting time	625	91	$46.87	$5.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	369	93	$125.57	$35.26
99213 Established patient office or other outpatient visit, typically 15 minutes	349	143	$156.35	$57.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	45	$238.65	$85.16
36415 Insertion of needle into vein for collection of blood sample	17	16	$34.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	13	$53.00	$10.45

Medical Specialties & State Licenses

CMS Verified: 2022-01-18

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 2194

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.

Hospital & Practice Group Affiliations

Froedtert Manitowoc Medical Group, Llc

1414 N Taylor Dr, Sheboygan, WI 530811988

Phone: 9203202436

Froedtert Manitowoc Medical Group, Llc

2631 Eastern Ave, Plymouth, WI 530734270

Phone: 9203202436

Froedtert Manitowoc Medical Group, Llc

3736 S Taylor Dr, Sheboygan, WI 530818432

Phone: 9204766300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Kenneth Siebels , OTR, L

Occupational Therapist

NPI 1043844962

Occupational Therapist Registered, L

Dr. Emily Jacobson , DPT

Physical Therapist

NPI 1104284025

Doctor of Physical Therapy

Grant Roethel

Nurse Practitioner

NPI 1174408306

Dr. Steven Staehling , MD

Family Medicine

NPI 1336105501

Doctor of Medicine (M.D.)

Dr. Najmus Liang , MD

Family Medicine

NPI 1417338369

Doctor of Medicine (M.D.)

Carmen Ruiz , APNP

Nurse Practitioner - Family

NPI 1477608529

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location October 27, 2021

Registered at 1414 N TAYLOR DR, SHEBOYGAN, WI 530811988 (Tel: 9209469932)

📍

Updated Business Mailing Address October 27, 2021

Registered at 11430 N PORT WASHINGTON RD, MEQUON, WI 530923414

✅

NPI Profile Active May 26, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 26, 2011

Registered at 1703 N TAYLOR DR, SHEBOYGAN, WI 530811933 (Tel: 9204574438)

📍

Updated Business Mailing Address May 26, 2011

Registered at 4425 N PORT WASHINGTON RD, ATTN: CLINIC CREDENTIALING, GLENDALE, WI 532121082 (Tel: 9204574438)

👤

Provider Name / Credentials Updated May 26, 2011

Recorded as MELISSA KRAUSE, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2011

Physician Assistant (License #2194 in WI)

🟢

Initial NPI Registration & Enumeration October 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760670772

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 04, 2007

Last Update: January 18, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11430 N Port Washington Rd

Mequon, WI 530923414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.