Individual provider Active NPI

Fletcher M. M. Schubert, APRN-NP

  • Family Nurse Practitioner
  • Tonganoxie, KS
National Provider Identifier
1083162903
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-77363-061 Issued in KS
Practice address
515 4TH Street
Tonganoxie, KS 66086-4509
Phone
(913) 335-0152
NPI assigned
Sep 20, 2016
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20170403001022 MO Practitioner - Nurse Practitioner 9436434503 Reassigns benefits to 1 organization
I20220816001094 IA Practitioner - Nurse Practitioner 9436434503 Reassigns benefits to 1 organization
I20220818001850 FL Practitioner - Nurse Practitioner 9436434503 Reassigns benefits to 1 organization
I20220826002157 OH Practitioner - Nurse Practitioner 9436434503 Reassigns benefits to 1 organization
I20220826002409 VA Practitioner - Nurse Practitioner 9436434503
I20220826003137 TX Practitioner - Nurse Practitioner 9436434503 Reassigns benefits to 1 organization
I20220827000571 NY Practitioner - Nurse Practitioner 9436434503
I20220829003095 ME Practitioner - Nurse Practitioner 9436434503 Reassigns benefits to 1 organization
I20241107000634 DC Practitioner - Nurse Practitioner 9436434503 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
77363KSMDAcute Care Nurse Practitioner
A158626IAMDFamily Nurse Practitioner
53-77363-061KSMDFamily Nurse Practitioner
2016044499MOMDFamily Nurse Practitioner
1007542TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners Colorado, PC CurrentSince Jul 7, 2022 Accepting new patients
Community Wellness Medical Associates a PC CurrentSince May 4, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.