NPIMap

Individual provider Active NPI

Alisa L Schmidt, M.D.

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1003174814
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-36789 Issued in KS
Practice address
3515 W Central Ave
Wichita, KS 67203-4921
Phone
(316) 755-0144
Fax
(844) 274-1204
NPI assigned
Apr 30, 2012
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-36789 KS Primary

Addresses

Primary practice location

3515 W Central Ave
Wichita, KS 67203-4921

Mailing address

3515 W Central Ave
Wichita, KS 67203-4921
Phone (316) 755-0144

Other practice location 1

101 Industrial Road
Hillsboro, KS 67063
Phone (620) 947-1421

Other practice location 2

818 N Carriage Pkwy
Wichita, KS 67208
Phone (316) 651-2216

Other identifiers 2

IdentifierTypeStateIssuer
04-36789OtherKSKANSAS LICENSE
201110460BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150324001835 KS Practitioner - Geriatric MedicinePractitioner - Family Practice 6002052149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

6700 E 45TH St N
Bel Aire, KS 67226-8817
Phone (316) 744-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.34 of 100Reported as group
Quality
67.95
Improvement activities
40
Cost
77.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-36789KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Hospitalists of Kansas, LLC CurrentSince Jan 1, 2023 Accepting new patients
Premier Hospitalists of Kansas, LLC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Paramount Community Living and Rehab, Inc. Past Accepting new patients
Parkside Homes Inc. Past Accepting new patients
HMG Park Manor of Salina, LLC Past Accepting new patients
Minneapolis Healthcare and Rehabilitation Center LLC Past Accepting new patients
Kenwood View Healthcare and Rehabilitation Center LLC Past Accepting new patients
Wilson Operator, LLC Past Accepting new patients
Kidron Bethel Retirement Services, Inc. Past Accepting new patients
Chase County Operator, LLC Past Accepting new patients
Tallgrass Healthcare Campus LLC Past Accepting new patients
Recover-Care Pinnacle Park LLC Past Accepting new patients
McPherson Operator, LLC Past Accepting new patients
Wheat State Manor, Inc Past Accepting new patients
Holiday Resort of Salina Operations, LLC Past Accepting new patients
The Cedars, Inc. Past Accepting new patients

Locations

6700 E 45th St N
Bel Aire, KS 67226
Phone (316) 744-2020

3515 W Central Ave
Wichita, KS 67203
Phone (316) 942-0119

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9bff9324-b2ff-4506-8825-324d6cd35169/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d20ca4de-00bb-48dc-a30c-dec35eefeee0/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/hillsch-d2662f84

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bethel Health Care CentreNorth Newton, KS, CCN 175402 Skilled nursing facility Adp of the SNF Mar 16, 2023
Parkside HomesHillsboro, KS, CCN 175387 Skilled nursing facility Corporate Director (50%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Feb 1, 2023
Feb 1, 2023
Kenwood View Healthcare and Rehabilitation CenterSalina, KS, CCN 175200 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 28, 2025
Feb 18, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1003174814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034921",
            "telephone_number": "316-755-0144",
            "fax_number": "844-274-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034921",
            "telephone_number": "316-755-0144",
            "fax_number": "844-274-1204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Industrial Road",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "KS",
            "postal_code": "67063",
            "country_code": "US",
            "telephone_number": "620-947-1421",
            "fax_number": "620-947-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "818 N Carriage Pkwy",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "67208",
            "country_code": "US",
            "telephone_number": "316-651-2216",
            "fax_number": "316-651-2256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ALISA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-36789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "04-36789",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201110460B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.