Individual provider Active NPI

Renae Schroeder, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1053079384
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0997175-NP Issued in CO
Practice address
5445 Mark Dabling Blvd Ste 105
Colorado Springs, CO 80918-3850
Phone
(719) 678-1425
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0997175-NP CO Primary

Addresses

Primary practice location

5445 Mark Dabling Blvd Ste 105
Colorado Springs, CO 80918-3850

Mailing address

4833 Front St Ste B
#411
Castle Rock, CO 80104-7901
Phone (719) 678-1425

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
I20220426001892 CO Practitioner - Nurse Practitioner 1759778566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Psychiatry, LLCGroup PAC ID 9032583745, 2 clinicians

Practice addresses (Care Compare)

5445 Mark Dabling Blvd
Colorado Springs, CO 80918-3850
Phone (719) 678-1425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Psychiatry, LLC Psychiatric/Mental Health CurrentSince Mar 6, 2023 Accepting new patients
Divergent Minds Mental Health PLLC Psychiatric/Mental Health CurrentSince Nov 10, 2025 Accepting new patients

Locations

4833 Front St
Ste B
Castle Rock, CO 80104
Phone (720) 507-7017

5445 Mark Dabling Blvd
Ste 105
Colorado Springs, CO 80918
Phone (719) 301-0133

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1053079384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 FRONT ST STE B",
            "address_2": "#411",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047901",
            "telephone_number": "719-678-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 MARK DABLING BLVD STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183850",
            "telephone_number": "719-678-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "RENAE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0997175-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.