Individual provider Active NPI

Jared Lee Schmidt, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Bismarck, ND
National Provider Identifier
1154475101
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
11718 Issued in ND
Practice address
3502 Franklin Ave
Bismarck, ND 58503-0761
Phone
(701) 222-2480
Fax
(701) 222-4537
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 7916 SD
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 11718 ND Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 52622 MN

Addresses

Primary practice location

3502 Franklin Ave
Bismarck, ND 58503-0761

Mailing address

PO Box 2036
Bismarck, ND 58502-2036
Phone (701) 222-2480

Other identifiers 1

IdentifierTypeStateIssuer
16493MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, TX2 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
I20110926000018 ND Practitioner - Pathology 4688706807 Reassigns benefits to 2 organizations
I20170309002152 TX Practitioner - Pathology 4688706807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of North Dakota School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Consultants PCGroup PAC ID 2466411525, 5 clinicians

Practice addresses (Care Compare)

3502 Franklin Ave
Bismarck, ND 58503-0761
Phone (701) 222-2480

Hospital & facility affiliations

  • CHI St Alexius Health Hospital, Bismarck, ND, CCN 350002
  • CHI St Alexius Health Williston Hospital, Williston, ND, CCN 351334
  • Heart of America Medical Center Hospital, Rugby, ND, CCN 351332
  • West River Regional Medical Center Hospital, Hettinger, ND, CCN 351330
  • CHI St Alexius Health Dickinson Hospital, Dickinson, ND, CCN 351336

Merit-based Incentive Payment System (MIPS)

Final score
98.34 of 100Reported as group
Quality
96.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52622MNMDAnatomic Pathology & Clinical Pathology Physician
11718NDMDAnatomic Pathology & Clinical Pathology Physician
7916SDMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Consultants, PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2011 Accepting new patients
Pathology Consultants, PC CurrentSince Jul 1, 2011 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Jan 23, 2017 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Aug 1, 2017 Accepting new patients

Locations

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

1300 Hospital Loop
Belcourt, ND 58316

3502 Franklin Ave
Bismarck, ND 58503
Phone (701) 222-2480

2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000

4100 W 150th St
#3
Cleveland, OH 44135

Organizations & group practices 5

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 6

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1154475101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2036",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585022036",
            "telephone_number": "701-222-2480",
            "fax_number": "701-222-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 FRANKLIN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030761",
            "telephone_number": "701-222-2480",
            "fax_number": "701-222-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JARED",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SD",
            "license": "7916",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "ND",
            "license": "11718",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "52622",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16493",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.