Individual provider Active NPI

Rachel Schmidt, FNP

  • Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1154772721
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP8740 Issued in AZ
Practice address
2152 S Vineyard Ste 118
Mesa, AZ 85210-6881
Phone
(480) 801-2416
Fax
(480) 801-2417
NPI assigned
Jun 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN205716 AZ
Nurse Practitioner 363L00000X MLS127733IA IA
Nurse Practitioner 363L00000X AP8740 AZ Primary

Addresses

Primary practice location

2152 S Vineyard Ste 118
Mesa, AZ 85210-6881

Mailing address

738 N Cactus Way
Chandler, AZ 85226-1761
Phone (515) 556-1640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160923001128 AZ Practitioner - Nurse Practitioner 7113214826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHCG Ccii LLCGroup PAC ID 3870994437, 5 clinicians

Practice addresses (Care Compare)

7740 N Oracle Rd
Tucson, AZ 85704-6313
Phone (520) 537-2245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN205716AZMDRegistered Nurse
AP8740AZMDNurse Practitioner
MLS127733IAIAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LHCG Clxxii, LLC Family CurrentSince Mar 1, 2021 Accepting new patients
LHCG Ccii LLC Family CurrentSince Jul 16, 2021 Accepting new patients

Locations

2152 S Vineyard
Ste 117
Mesa, AZ 85210
Phone (480) 895-5434

1840 S Stapley Dr
Ste 225B
Mesa, AZ 85204
Phone (480) 801-2416

2152 S Vineyard
Ste 118
Mesa, AZ 85210
Phone (480) 801-2416

7740 N Oracle Rd
Tucson, AZ 85704
Phone (520) 537-2245

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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1154772721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 N CACTUS WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261761",
            "telephone_number": "515-556-1640",
            "fax_number": "480-753-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 S VINEYARD STE 118",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106881",
            "telephone_number": "480-801-2416",
            "fax_number": "480-801-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "RACHEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN205716",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "MLS127733IA",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.