Tamala Schmitz, CNP
Individual provider Active NPI Family Nurse Practitioner · Granite Falls, MN
NPI 1154870640 · NPPES record last updated Mar 30, 2017
Key facts
- NPI
- 1154870640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP4815 (MN)
- Practice address
- 345 10TH Ave
Granite Falls, MN 56241-1442 - Phone
- (320) 564-3111
- Fax
- (320) 313-3386
- NPI assigned
- Sep 26, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161025003115 | MN | Practitioner - Nurse Practitioner | 2163700139 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP4815 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera Marshall | Current |
Accepting new patients | |
| Avera Granite Falls | Current |
Accepting new patients | |
| Avera Granite Falls | Current | Accepting new patients | |
| Avera Marshall | Current |
Accepting new patients | |
| Avera Marshall | Current | 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
- tamala.schmitz@avera.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP4815 | MN | Yes |
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
Other providers in Granite Falls, MN
- Vickie Lynn Potter
- Reverence for Life and Concern for People Inc
- Arthur J Rillo
- Rosa Esmeralda Rios Avendano
- Anneka Roderick
- Julie Elizabeth Shourds
- Slater Surgical, LLC
- Angela Fay Smith
- Kyndall Sneller
- Joann L. Steinbach
All providers in Granite Falls, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.