Individual provider Active NPI

Stephanie Diane Schutte, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Sioux City, IA
National Provider Identifier
1104023191
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
5676 Issued in NE
Practice address
801 5TH Street
Sioux City, IA 51101-1326
Phone
(314) 238-5260
Fax
(314) 821-1833
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 5676 NE Primary

Addresses

Primary practice location

801 5TH Street
Sioux City, IA 51101-1326

Mailing address

PO Box 310777
Des Moines, IA 50331-0777
Phone (314) 238-5260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120831000434 IA Practitioner - Pathology 6204083991 Reassigns benefits to 1 organization
I20120905000195 SD Practitioner - Pathology 6204083991

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Nebraska College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siouxland Diagnostic Pathology Services PLLCGroup PAC ID 3375889959, 3 clinicians

Practice addresses (Care Compare)

101 Tower Rd
Suite 220
Dakota Dunes, SD 57049-5098
Phone (314) 238-5210

801 5TH St
Sioux City, IA 51101-1326
Phone (712) 279-2010

Hospital & facility affiliations

  • Dunes Surgical Hospital Hospital, Dakota Dunes, SD, CCN 430089
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Pender Community Hospital Hospital, Pender, NE, CCN 281349
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Providence Medical Center Hospital, Wayne, NE, CCN 281345

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5676NEMDAnatomic Pathology & Clinical Pathology Physician

Organizations & group practices 1

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 5

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1104023191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310777",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503310777",
            "telephone_number": "314-238-5260",
            "fax_number": "314-821-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH STREET",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011326",
            "telephone_number": "314-238-5260",
            "fax_number": "314-821-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTTE",
        "first_name": "STEPHANIE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NE",
            "license": "5676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.