Individual provider Active NPI

Tamala Schmitz, CNP

  • Family Nurse Practitioner
  • Granite Falls, MN
National Provider Identifier
1154870640
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP4815 Issued in MN
Practice address
345 10TH Ave
Granite Falls, MN 56241-1442
Phone
(320) 564-3111
Fax
(320) 313-3386
NPI assigned
Sep 26, 2016
Last updated
Mar 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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 CNP4815 MN Primary

Addresses

Primary practice location

345 10TH Ave
Granite Falls, MN 56241-1442

Mailing address

345 10TH Ave
Granite Falls, MN 56241-1442
Phone (320) 564-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20161025003115 MN Practitioner - Nurse Practitioner 2163700139 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP4815MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Marshall CurrentSince Apr 2, 2018 Accepting new patients
Avera Marshall Current Accepting new patients
Avera Granite Falls Current Accepting new patients
Avera Granite Falls CurrentSince Jan 1, 2020 Accepting new patients
Avera Marshall CurrentSince Apr 2, 2018 Accepting new patients

Locations

345 10th Ave
Granite Falls, MN 56241
Phone (320) 564-3111

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

Interoperability endpoints

  • Direct secure messaging: tamala.schmitz@avera.sdhealthlink.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1154870640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 10TH AVE",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "562411442",
            "telephone_number": "320-564-3111",
            "fax_number": "320-313-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 10TH AVE",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "562411442",
            "telephone_number": "320-564-3111",
            "fax_number": "320-313-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "TAMALA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP4815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Falls, MN

Sources for this page

Verify at the official NPI Registry.