Individual provider Active NPI

Austin Lee Schmidt

  • Physician Assistant
  • Clive, IA
National Provider Identifier
1104587245
Registry record updated Jan 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
112272 Issued in IA
Practice address
1275 NW 128TH St Ste 200
Clive, IA 50325-7403
Phone
(515) 224-3948
NPI assigned
Dec 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2022

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 112272 IA Primary

Addresses

Primary practice location

1275 NW 128TH St Ste 200
Clive, IA 50325-7403

Mailing address

1275 NW 128TH St Ste 200
Clive, IA 50325-7403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20220128001846 IA Practitioner - Physician Assistant 5294127080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Iowa, RJ & L Carver College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DSM Sleep SpecialistsGroup PAC ID 8022362466, 5 clinicians

Practice addresses (Care Compare)

1275 NW 128TH St
Suite 200
Clive, IA 50325-7403
Phone (734) 502-6716

Merit-based Incentive Payment System (MIPS)

Final score
80.29 of 100Reported as group
Quality
68.58
Improvement activities
40
Cost
76.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112272IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DSM Sleep Specialists CurrentSince Jan 24, 2022 Accepting new patients

Locations

1275 NW 128th St
Ste 200
Clive, IA 50325
Phone (515) 224-3948

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1104587245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 NW 128TH ST STE 200",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 NW 128TH ST STE 200",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257403",
            "telephone_number": "515-224-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "AUSTIN",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-30",
        "last_updated": "2022-01-09",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "112272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.