Provider Demographics
NPI:1104153287
Name:SCHMITT, ANNA MARIA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:MARIA
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:MARIA
Other - Last Name:SKRZYPEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-
Mailing Address - Street 1:1821 S STOUGHTON RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53716-2257
Mailing Address - Country:US
Mailing Address - Phone:608-260-6000
Mailing Address - Fax:608-260-6366
Practice Address - Street 1:1821 S STOUGHTON RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53716-2257
Practice Address - Country:US
Practice Address - Phone:608-260-6000
Practice Address - Fax:608-260-6366
Is Sole Proprietor?:No
Enumeration Date:2009-11-10
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2507-23363A00000X
WI52507-023363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1104153287Medicaid
WI741501738Medicare PIN