Active NPI
Amy Jo Schwab, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5967
- Practice address
- 332 W Superior St Ste 300
Duluth, MN 55802-1844 - Phone
- (218) 722-4379
- Fax
- (218) 722-4333
- NPI assigned
- Jul 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5967 | MN | Primary |
Addresses
Primary practice location
332 W Superior St Ste 300
Duluth, MN 55802-1844
Mailing address
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-4710
Other practice location 1
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-4710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5967 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates Counseling Wi., S.C. | Current | Accepting new patients | |
| Nystrom & Associates, LTD | Current | Accepting new patients | |
| Nystrom & Associates Counseling Wi., S.C. | Current | Accepting new patients |
Locations
332 W Superior St
Ste 300
Duluth, MN 55802
Phone (218) 481-9408
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
2501 Hanley Rd
Ste 201
Hudson, WI 54016
Phone (534) 544-5247
201 Main St
Ste 500
La Crosse, WI 54601
Phone (608) 668-4005
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- La Crosse, WI
- NPI 1659977866
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fargo, ND
- NPI 1104549047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1013493345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 ANNE ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566015114",
"telephone_number": "218-333-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 W SUPERIOR ST STE 300",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021844",
"telephone_number": "218-722-4379",
"fax_number": "218-722-4333"
}
],
"practiceLocations": [
{
"address_1": "1611 Anne St NW",
"address_purpose": "LOCATION",
"city": "Bemidji",
"state": "MN",
"postal_code": "566015114",
"country_code": "US",
"telephone_number": "218-333-4710",
"fax_number": "218-333-2640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHWAB",
"first_name": "AMY",
"middle_name": "JO",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-19",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "5967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.