NPIMap

Individual provider Active NPI

Beth Ann Schroeder, M.D.

  • Family Medicine Physician
  • Iron Mountain, MI
National Provider Identifier
1184616013
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5301083459 Issued in MI
Practice address
1711 S Stephenson Ave
Suite 300
Iron Mountain, MI 49801-3650
Phone
(906) 774-1633
Fax
(906) 774-4451
NPI assigned
Aug 17, 2005
Last updated
May 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5301083459 MI Primary

Addresses

Primary practice location

1711 S Stephenson Ave
Suite 300
Iron Mountain, MI 49801-3650

Mailing address

1711 S Stephenson Ave
Suite 300
Iron Mountain, MI 49801-3650
Phone (906) 774-1633

Other identifiers 6

IdentifierTypeStateIssuer
0802210542OtherMIBLUE CROSS BLUE SHIELD
34551400MedicaidWI
981431041664OtherPREFERRED ONE
104628165MedicaidMI
43055200MedicaidWI
P00144655OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817000010 MI Practitioner - Family Practice 7719950922 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan-Wisconsin Family Practice Associates, P.C.Group PAC ID 2264404169, 4 clinicians

Practice addresses (Care Compare)

1711 S Stephenson Ave
Iron Mountain, MI 49801-3650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5301083459MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Michigan, PLLC Current Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC CurrentSince Jul 22, 2019 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Family Medicine CurrentSince May 29, 2019 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Family Medicine CurrentSince May 29, 2019 Accepting new patients
Michigan-Wisconsin Family Practice Associates, P.C. CurrentSince Aug 2, 2004 Accepting new patients
Optalis Kingsford Opco LLC Past Accepting new patients
Dickinson County Healthcare System Family Medicine Past Accepting new patients
Michigan-Wisconsin Family Practice Associates, P.C. Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

1711 S Stephenson Ave
Ste 300
Iron Mountain, MI 49801
Phone (906) 774-1633

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marshfield Medical Center - Dickinson HospiceIron Mountain, MI, CCN 231728 Hospice W-2 Managing Employee Feb 1, 2025
Michigan-Wisconsin Family Practice Associates, P.C.Iron Mountain, MI, CCN 233872 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee		 Dec 1, 2007
Dec 1, 2007

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1184616013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 S STEPHENSON AVE",
            "address_2": "SUITE 300",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013650",
            "telephone_number": "906-774-1633",
            "fax_number": "906-774-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S STEPHENSON AVE",
            "address_2": "SUITE 300",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013650",
            "telephone_number": "906-774-1633",
            "fax_number": "906-774-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5301083459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0802210542",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34551400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "981431041664",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104628165",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43055200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00144655",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

Verify at the official NPI Registry.