Active NPI
Selena Schmit, RN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Baldwin, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 13187-33
- Practice address
- 1100 Bergslien St
Baldwin, WI 54002-2600 - Phone
- (651) 492-0449
- NPI assigned
- May 28, 2021
- Last updated
- Dec 29, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 2458149 | MN | |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 266125-30 | WI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 13187-33 | WI | Primary |
Addresses
Primary practice location
1100 Bergslien St
Baldwin, WI 54002-2600
Mailing address
1100 Bergslien St
Baldwin, WI 54002-2600
Phone (651) 492-0449
Other practice location 1
9400 Zane Ave N
Brooklyn Park, MN 55443-1814
Phone (763) 762-6846
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sschmit596184@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2458149 | MN | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| 266125-30 | WI | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| 13187-33 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Area Medical Center Inc. | Current | Accepting new patients | |
| Baldwin Area Medical Center, Inc. | Current | Accepting new patients | |
| Baldwin Area Medical Center, Inc. | Current | Accepting new patients |
Locations
1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111
503 Cherry Ln
Roberts, WI 54023
Phone (715) 684-1111
Interoperability endpoints
- sschmit596184@excellian.direct.allina.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Western Wisconsin Health
- Critical Access Hospital
- Baldwin, WI
- NPI 1467496133
-
dba Western Wisconsin Health Spring Valley Clinic
- Clinic/Center
- Spring Valley, WI
- NPI 1164272324
-
dba Western Wisconsin Health
- Rural Health Clinic/Center
- Baldwin, WI
- NPI 1336228865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1023684248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 BERGSLIEN ST",
"city": "BALDWIN",
"state": "WI",
"postal_code": "540022600",
"telephone_number": "651-492-0449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BERGSLIEN ST",
"city": "BALDWIN",
"state": "WI",
"postal_code": "540022600",
"telephone_number": "651-492-0449"
}
],
"practiceLocations": [
{
"address_1": "9400 Zane Ave N",
"address_purpose": "LOCATION",
"city": "Brooklyn Park",
"state": "MN",
"postal_code": "554431814",
"country_code": "US",
"telephone_number": "763-762-6846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHMIT",
"first_name": "SELENA",
"name_prefix": "Dr.",
"credential": "RN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-28",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "MN",
"license": "2458149",
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "WI",
"license": "266125-30",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "13187-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sschmit596184@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1100 Bergslien St",
"city": "Baldwin",
"state": "WI",
"country_code": "US",
"postal_code": "540022600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baldwin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.