Active NPI
Kristen Leann Schaefer, M.D.
- Anesthesiology Physician
- Sheridan, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 10517A
- Practice address
- 1401 W 5TH St
Sheridan, WY 82801-2705 - Phone
- (307) 672-1000
- NPI assigned
- Apr 4, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 10517A | WY | Primary |
Addresses
Primary practice location
1401 W 5TH St
Sheridan, WY 82801-2705
Mailing address
1401 W. 5TH St.
Sheridan, WY 82801
Other practice location 1
1959 NE Pacific Street, BB-1469
University of Washington, Box 356540
Seattle, WA 98195-6540
Phone (206) 543-2470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Washington School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000
Hospital & facility affiliations
- Sheridan Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 35.02 of 100
- Quality
- 70.04
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Sheridan County | Current | Accepting new patients | |
| Big Horn Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Memorial Hospital of Sheridan County | Current | Accepting new patients |
Locations
1401 W 5th St
Sheridan, WY 82801
Phone (307) 672-1000
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.
-
- Anesthesiology Physician
- Sheridan, WY
- NPI 1710419445
-
- General Acute Care Hospital
- Sheridan, WY
- NPI 1487707188
-
- Community Based Hospice Care Agency
- Sheridan, WY
- NPI 1144359423
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sheridan, WY
- NPI 1487707188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1093071060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W. 5TH ST.",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "82801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W 5TH ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828012705",
"telephone_number": "307-672-1000"
}
],
"practiceLocations": [
{
"address_1": "1959 NE Pacific Street, BB-1469",
"address_2": "University of Washington, Box 356540",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981956540",
"country_code": "US",
"telephone_number": "206-543-2470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHAEFER",
"first_name": "KRISTEN",
"middle_name": "LEANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WY",
"license": "10517A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.