Individual provider Active NPI

Jill Schmidt, ARNP

  • Family Nurse Practitioner
  • Dallas Center, IA
National Provider Identifier
1134200280
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-085773 Issued in IA
Practice address
507 14TH St
Dallas Center, IA 50063-7738
Phone
(515) 992-3711
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A-085773 IA Primary

Addresses

Primary practice location

507 14TH St
Dallas Center, IA 50063-7738

Mailing address

PO Box 248
Grimes, IA 50111-0248

Other practice location 1

1410 SW Tradition Dr Ste 110
Ankeny, IA 50023-9188
Phone (515) 875-9696

Other names 1

  • Jill Schmidt Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jillschmidt@tic.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A-085773IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctorsnow Doral LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1134200280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501110248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 14TH ST",
            "city": "DALLAS CENTER",
            "state": "IA",
            "postal_code": "500637738",
            "telephone_number": "515-992-3711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 SW Tradition Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500239188",
            "country_code": "US",
            "telephone_number": "515-875-9696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JILL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-085773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jillschmidt@tic.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1410 SW Tradition Dr Ste 110",
            "city": "Ankeny",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500239188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SCHMIDT",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas Center, IA

Sources for this page

Verify at the official NPI Registry.