Active NPI
Jill Schmidt, ARNP
- Family Nurse Practitioner
- Dallas Center, IA
National Provider Identifier
1134200280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A-085773
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-085773 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Physician
- Johnston, IA
- NPI 1932346079
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.