Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Robert Schultz

Individual provider Nurse Practitioner · NPI 1588549794

Jacob Robert Schultz is a Nurse Practitioner in LA Crosse, Wisconsin. Qualified in 2025, 1 year ago. Practices with Mayo Clinic Health System-Southwest Wisconsin Region Inc, a 552-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025
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Practice location Address checks out

800 W Ave S
LA Crosse, WI 54601-8806
Phone: (608) 785-0940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 17495 (WI)

Record details

NPI number1588549794
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing addressPo Box 860912, Minneapolis, MN 55486-0912

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mayo Clinic Health System-Southwest Wisconsin Region Inc — 552 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Crosse