Individual provider Active NPI

Sherylyn J Schmidt, NP-C

  • Family Nurse Practitioner
  • Bedford, IN
National Provider Identifier
1194945303
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71000042 Issued in IN
Practice address
2415 Mitchell Rd
Bedford, IN 47421-4700
Phone
(812) 279-6222
NPI assigned
Apr 27, 2007
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 71000042 IN
Family Nurse Practitioner 363LF0000X 71000042 IN Primary

Addresses

Primary practice location

2415 Mitchell Rd
Bedford, IN 47421-4700

Mailing address

2415 Mitchell Rd
Bedford, IN 47421-4700

Other practice location 1

225 West First Street
Campbellsburg, IN 47108-9146
Phone (812) 755-4443

Other identifiers 1

IdentifierTypeStateIssuer
100346560MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5942KYMDClinical Social Worker
71000042INMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1194945303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MITCHELL RD",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MITCHELL RD",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214700",
            "telephone_number": "812-279-6222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 West First Street",
            "address_purpose": "LOCATION",
            "city": "Campbellsburg",
            "state": "IN",
            "postal_code": "471089146",
            "country_code": "US",
            "telephone_number": "812-755-4443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "SHERYLYN",
        "middle_name": "J",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71000042",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100346560",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.