Individual provider Active NPI

Chad L Schiltz

  • Family Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1053017780
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R43013 Issued in ND
Practice address
301 Northern Pacific Ave N
Fargo, ND 58102-4835
Phone
(701) 271-3344
NPI assigned
Feb 3, 2023
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R43013 ND Primary

Addresses

Primary practice location

301 Northern Pacific Ave N
Fargo, ND 58102-4835

Mailing address

522 Martins Ave N
Casselton, ND 58012-3915
Phone (701) 899-0544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230302000671 ND Practitioner - Nurse Practitioner 3870966401 Reassigns benefits to 1 organization
I20250310000669 MN Practitioner - Nurse Practitioner 3870966401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Care CenterGroup PAC ID 1658283650, shared by 3 NPIs, 25 clinicians

Practice addresses (Care Compare)

2800 27TH Ave S
Moorhead, MN 56560-5902
Phone (701) 271-3344

301 NP Ave N
Fargo, ND 58102-4835
Phone (701) 271-3344

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Center CurrentSince Mar 1, 2023 Accepting new patients
Family Health Care Center CurrentSince Mar 1, 2023 Accepting new patients

Locations

2800 27th Ave S
Moorhead, MN 56560
Phone (218) 287-3832

301 Np Ave N
Fargo, ND 58102

4025 9th Ave S
Fargo, ND 58103
Phone (701) 551-2446

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1053017780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 MARTINS AVE N",
            "city": "CASSELTON",
            "state": "ND",
            "postal_code": "580123915",
            "telephone_number": "701-899-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NORTHERN PACIFIC AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024835",
            "telephone_number": "701-271-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILTZ",
        "first_name": "CHAD",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R43013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.