Active NPI
Renae Schroeder, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1053079384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN.0997175-NP
- 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
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 | 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Psychiatry, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Divergent Minds Mental Health PLLC | Psychiatric/Mental Health | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Colorado Springs, CO
- NPI 1568177814
-
- Psychiatric/Mental Health Nurse Practitioner
- Colorado Springs, CO
- NPI 1790583557
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.