Individual provider Active NPI

Bree A Schmulbach, APN

  • Family Nurse Practitioner
  • Petersburg, IL
National Provider Identifier
1215415799
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209017873 Issued in IL
Practice address
1 Centre Drive
Petersburg, IL 62675-9467
Phone
(217) 632-7761
Fax
(217) 632-0312
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Menard Medical Center, LLC 9 clinicians
Memorial Physician Services 161 clinicians

Practice addresses (Care Compare)

1 Centre Dr
Petersburg, IL 62675-9467

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Springfield, IL, CCN 140148
  • Abraham Lincoln Memorial Hospital Hospital, Lincoln, IL, CCN 141322

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
71.79
Promoting interoperability
77
Improvement activities
40
Cost
75.71

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20210816003268 IL Practitioner - Nurse Practitioner 8224433164 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209017873ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Center of Chatham, LLC Nurse Practitioner Current Accepting new patients
Memorial Physician Services Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
SJL Health Systems Inc CurrentSince Jul 1, 2021 Accepting new patients
Memorial Physician Services Current Accepting new patients
Memorial Physician Services CurrentSince Jul 1, 2024 Accepting new patients
HSHS Medical Group Inc Current Accepting new patients
Memorial Health Partners Current Accepting new patients
HSHS Medical Group Inc CurrentSince Jul 1, 2021 Accepting new patients
HSHS Medical Group Inc PastSince Apr 10, 2022 Accepting new patients

Locations

101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487

125 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3333

125 E Plummer Blvd
Ste A
Chatham, IL 62629
Phone (217) 483-3333

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

1 Centre Dr
Petersburg, IL 62675
Phone (217) 632-7599

Interoperability endpoints

  • Direct secure messaging: breeschmulbach@memorial.allscriptsdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209017873 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

1 Centre Drive
Petersburg, IL 62675-9467

Mailing address

1 Centre Drive
Petersburg, IL 62675-9467
Phone (217) 632-7761

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
041346789OtherILRN LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 25, 2024.

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1215415799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CENTRE DRIVE",
            "city": "PETERSBURG",
            "state": "IL",
            "postal_code": "626759467",
            "telephone_number": "217-632-7761",
            "fax_number": "217-632-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTRE DRIVE",
            "city": "PETERSBURG",
            "state": "IL",
            "postal_code": "626759467",
            "telephone_number": "217-632-7761",
            "fax_number": "217-632-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMULBACH",
        "first_name": "BREE",
        "middle_name": "A",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "041346789",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, IL

Sources for this page

Verify at the official NPI Registry.