Individual provider Active NPI

Kristin Schmidt, PA-C

  • Physician Assistant
  • Manchester, NH
National Provider Identifier
1063415115
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0431 Issued in NH
Practice address
145 Hollis Street
Manchester, NH 03101-1235
Phone
(603) 626-9500
Fax
(603) 626-0899
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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 0431 NH Primary

Addresses

Primary practice location

145 Hollis Street
Manchester, NH 03101-1235

Mailing address

145 Hollis St
Manchester, NH 03101-1235
Phone (603) 626-9500

Other identifiers 1

IdentifierTypeStateIssuer
30333036MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20101109001349 NH Practitioner - Physician Assistant 0446445092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amoskeag HealthGroup PAC ID 8527038421, 30 clinicians

Practice addresses (Care Compare)

1245 Elm St
Manchester, NH 03101-1308
Phone (603) 626-9500

145 Hollis St
Manchester, NH 03101-1235
Phone (603) 626-9500

1555 Elm St
Manchester, NH 03101-1203
Phone (603) 626-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0431NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amoskeag Health CurrentSince Sep 2, 2002 Accepting new patients
Amoskeag Health CurrentSince Sep 2, 2002 Accepting new patients
Amoskeag Health Past Accepting new patients

Locations

184 Tarrytown Rd
Manchester, NH 03103
Phone (603) 627-1102

1245 Elm St
Manchester, NH 03101
Phone (603) 668-6629

145 Hollis St
Manchester, NH 03101

145 Hollis St
Fl 2
Manchester, NH 03101

88 McGregor St
Ste 302
Manchester, NH 03102
Phone (603) 622-8800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28516/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kristin.schmidt.1@28516.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1063415115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HOLLIS ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011235",
            "telephone_number": "603-626-9500",
            "fax_number": "603-626-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOLLIS STREET",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011235",
            "telephone_number": "603-626-9500",
            "fax_number": "603-626-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KRISTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30333036",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.