Mariah Shiloh Schmidt, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2017037524 Issued in MO

Practice address

1001 E Primrose St
Springfield, MO 65807-5155

Phone

(417) 875-2291

NPI assigned

Oct 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mariah Shiloh Wells-Zacha Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mariah.zacha.p1@direct.jordanvalley.nextgenshare.com

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.

• Advocates for a Healthy Community, Inc

  • Federally Qualified Health Center (FQHC)
  • Springfield, MO
  • NPI 1558303057

  Single Specialty

  Medicare reassignment NPD
• Empowerme Medical Group, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Brentwood, MO
  • NPI 1811682107

  Single Specialty

  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1245277631
  Medicare reassignment
• Mercy Clinic Springfield Communities

  • Rural Health Clinic/Center
  • Willow Springs, MO
  • NPI 1972771657
  Medicare reassignment
• Advocates for a Healthy Community Inc

  • Federally Qualified Health Center (FQHC)
  • Buffalo, MO
  • NPI 1750179610
  NPD
• Carolyn Clark FNP LLC

  • Family Nurse Practitioner
  • Branson, MO
  • NPI 1134500739

  Single Specialty

  NPD
• Empowerme Medical Group, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Raleigh, NC
  • NPI 1407673965

  Single Specialty

  NPD

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1164933933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14849 LAWRENCE 2085",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075155",
            "telephone_number": "417-875-2291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 E Garland Ct",
            "address_purpose": "LOCATION",
            "city": "Republic",
            "state": "MO",
            "postal_code": "657389142",
            "country_code": "US",
            "telephone_number": "417-619-3935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 E Tampa St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658061131",
            "country_code": "US",
            "telephone_number": "417-831-0150",
            "fax_number": "417-865-3479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "MARIAH",
        "middle_name": "SHILOH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017037524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420048193",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "WELLS-ZACHA",
            "middle_name": "SHILOH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• W Scott Schmidly, D.D.S.
• Allison Schmidt
• Brianna Yvette Schmidt, PHARMD
• Jennifer Marie Schmidt, LMSW
• Jeremy Schmidt
• Megan Gilbertson Schmidt, M.S., BCBA, LBA
• Rachel Schmidt
• Scott Schmidt, M.S., PLPC
• Adriel Schmitt, CRNA
• James Schmitt, M.D.

• Nurse Practitioner in Springfield, MO
• Providers in Springfield, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.

Verify at the official NPI Registry.