Active NPI
Fletcher M. M. Schubert, APRN-NP
- Family Nurse Practitioner
- Tonganoxie, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-77363-061
- Practice address
- 515 4TH Street
Tonganoxie, KS 66086-4509 - Phone
- (913) 335-0152
- NPI assigned
- Sep 20, 2016
- Last updated
- Aug 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 77363 | KS | |
| Family Nurse Practitioner | 363LF0000X | 0028215 | OH | |
| Family Nurse Practitioner | 363LF0000X | 1007542 | TX | |
| Family Nurse Practitioner | 363LF0000X | 2016044499 | MO | |
| Family Nurse Practitioner | 363LF0000X | A158626 | IA | |
| Family Nurse Practitioner | 363LF0000X | 53-77363-061 | KS | Primary |
Addresses
Primary practice location
515 4TH Street
Tonganoxie, KS 66086-4509
Mailing address
515 4TH Street
Tonganoxie, KS 66086-4509
Phone (913) 335-0152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IA, FL, OH, VA, TX, NY, ME, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Campus View Blvd
Suite 250
Columbus, OH 43235-4682
Phone (888) 690-3696
2611 S Clark St
Suite 600
Arlington, VA 22202-4046
Phone (888) 690-3696
2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (888) 690-3696
4625 Lindell Blvd
Ofc 316
Saint Louis, MO 63108-3725
Phone (888) 690-3696
699 Walnut St
Suite 455
Des Moines, IA 50309-2429
Phone (888) 690-3696
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77363 | KS | MD | Acute Care Nurse Practitioner |
| A158626 | IA | MD | Family Nurse Practitioner |
| 53-77363-061 | KS | MD | Family Nurse Practitioner |
| 2016044499 | MO | MD | Family Nurse Practitioner |
| 1007542 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners Colorado, PC | Current | Accepting new patients | |
| Community Wellness Medical Associates a PC | Current | Accepting new patients | |
| S. Y. Liu, MD., PA | Past | Accepting new patients |
Locations
1821 S Bascom Ave
Campbell, CA 95008
Phone (408) 918-3008
1999 S Bascom Ave
Ste 1020
Campbell, CA 95008
Phone (650) 722-2611
1325 J St
Ste 1550
Sacramento, CA 95814
Phone (415) 320-7541
1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
304 S 4th St
Ste 301
Danville, KY 40422
Phone (650) 722-2611
Interoperability endpoints
- fletcher.schubert@337577483108356.direct.elationemr.com
Organizations & group practices 5
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.
-
dba Community Wellness Medical Associates, P.S.C.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1083162903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 4TH STREET",
"city": "TONGANOXIE",
"state": "KS",
"postal_code": "660864509",
"telephone_number": "913-335-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 4TH STREET",
"city": "TONGANOXIE",
"state": "KS",
"postal_code": "660864509",
"telephone_number": "913-335-0152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUBERT",
"first_name": "FLETCHER",
"middle_name": "M. M.",
"name_prefix": "Mr.",
"credential": "APRN-NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-20",
"last_updated": "2022-08-31",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KS",
"license": "77363",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "0028215",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1007542",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2016044499",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A158626",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-77363-061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tonganoxie, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.