NPIMap

Individual provider Active NPI

Sheri Schroeder, PA-C

  • Physician Assistant
  • Dallas Center, IA
National Provider Identifier
1063409779
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001313 Issued in IA
Practice address
507 14TH St
Dallas Center, IA 50063
Phone
(515) 992-3711
Fax
(515) 992-3803
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001313 IA Primary

Addresses

Primary practice location

507 14TH St
Dallas Center, IA 50063

Mailing address

507 14TH St
Dallas Center Medical Associates
Dallas Center, IA 50063
Phone (515) 992-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012001333 IA Practitioner - Physician Assistant 4880654060 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Hospital 13 clinicians

Practice addresses (Care Compare)

610 10TH St
Perry, IA 50220-2221
Phone (515) 465-7555

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Urbandale, IA, CCN 167148
  • Dallas County Hospital Hospital, Perry, IA, CCN 161322
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • Spurgeon Manor Nursing home, Dallas Center, IA, CCN 165591

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001313IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Feb 4, 2015 Accepting new patients
Dallas County Hospital Physician Assistant CurrentSince Jul 1, 2023 Accepting new patients
Dallas County Hospital Physician Assistant CurrentSince Jul 1, 2023 Accepting new patients
Broadlawns Medical Center CurrentSince Feb 4, 2015 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

507 14th St
Dallas Center, IA 50063
Phone (515) 992-3711

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

610 10th St
Perry, IA 50220
Phone (515) 465-3547

Interoperability endpoints

  • Direct secure messaging: sherischroeder@dcfm.allscriptsdirect.net
  • FHIR API: https://fhir-usa.unify.chbase.com/org/dallas-858d3687

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1063409779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 14TH ST",
            "address_2": "DALLAS CENTER MEDICAL ASSOCIATES",
            "city": "DALLAS CENTER",
            "state": "IA",
            "postal_code": "50063",
            "telephone_number": "515-992-3711",
            "fax_number": "515-992-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 14TH ST",
            "city": "DALLAS CENTER",
            "state": "IA",
            "postal_code": "50063",
            "telephone_number": "515-992-3711",
            "fax_number": "515-992-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "SHERI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas Center, IA

Sources for this page

Verify at the official NPI Registry.