NPIMap

Individual provider Active NPI

Brooke Kendra Schmidt, PA-C

  • Medical Physician Assistant
  • Kalispell, MT
National Provider Identifier
1205858867
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
27751 Issued in MT
Practice address
1667 Whitefish Stage Ste 100
Kalispell, MT 59901-2175
Phone
(406) 314-4477
NPI assigned
Jul 24, 2006
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PAC0294 ND
Medical Physician Assistant 363AM0700X 27751 MT Primary

Addresses

Primary practice location

1667 Whitefish Stage Ste 100
Kalispell, MT 59901-2175

Mailing address

1667 Whitefish Stage Ste 100
Kalispell, MT 59901-2175
Phone (406) 314-4477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20140319002456 MT Practitioner - Physician Assistant 8325003999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montana Sky Dermatology PCGroup PAC ID 3375882319, 2 clinicians

Practice addresses (Care Compare)

1667 Whitefish Stage
Suite 100
Kalispell, MT 59901-2175
Phone (406) 314-4477

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.13 of 100Reported as individual
Quality
63.33
Promoting interoperability
71
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10519MNMDSchool Social Worker
27751MTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Glacier Dermatology PC PastSince Sep 21, 2017 Accepting new patients
Fennelly Chiropractic Clinic, Inc. Past Accepting new patients
Highline Dermatology & Skin Cancer PastSince Oct 1, 2020 Accepting new patients

Organizations & group practices 4

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1205858867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 WHITEFISH STAGE STE 100",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012175",
            "telephone_number": "406-314-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 WHITEFISH STAGE STE 100",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012175",
            "telephone_number": "406-314-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "BROOKE",
        "middle_name": "KENDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ND",
            "license": "PAC0294",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "27751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.