Individual provider Active NPI

Jason D Schmidthuber, PA

  • Physician Assistant
  • Longmont, CO
National Provider Identifier
1013981398
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1646 Issued in CO
Practice address
1079 S Hover St Ste 200
Longmont, CO 80501-7924
Phone
(303) 645-4241
Fax
(720) 790-7053
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1646 CO
Physician Assistant 363A00000X 1646 CO Primary

Addresses

Primary practice location

1079 S Hover St Ste 200
Longmont, CO 80501-7924

Mailing address

1079 S Hover St Ste 200
Longmont, CO 80501-7924
Phone (303) 645-4241

Other identifiers 2

IdentifierTypeStateIssuer
P00384483OtherCORR MEDICARE
90577710MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000556 CO Practitioner - Physician Assistant 0345266599 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1646COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Urgent Care PLLC CurrentSince Dec 1, 2022 Accepting new patients
Colorado Urgent Care PLLC CurrentSince Dec 1, 2022 Accepting new patients
Kit Carson County Health Services District Current Accepting new patients
Apex Emergency Group, Inc Past Accepting new patients

Locations

18890 E Hampden Ave
Aurora, CO 80013
Phone (303) 617-1604

286 16th St
Burlington, CO 80807
Phone (719) 346-5311

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/kitcars-83ea02ed
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCCACA/Endpoint/DCCACA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1013981398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 S HOVER ST STE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017924",
            "telephone_number": "303-645-4241",
            "fax_number": "720-790-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 S HOVER ST STE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017924",
            "telephone_number": "303-645-4241",
            "fax_number": "720-790-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDTHUBER",
        "first_name": "JASON",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1646",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00384483",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90577710",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.