Active NPI
Jamie Michelle Schneider, FNP
- Family Nurse Practitioner
- Maryville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209019130
- Practice address
- 20 Professional Park Dr Ste B
Maryville, IL 62062-5830 - Phone
- (618) 288-1480
- NPI assigned
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209019130 | IL | Primary |
Addresses
Primary practice location
20 Professional Park Dr Ste B
Maryville, IL 62062-5830
Mailing address
1204 Norman D Acres Rd N
Troy, IL 62294-2445
Phone (618) 667-8234
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
Enrollment records 1
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
Practice addresses (Care Compare)
1300 E Tremont St
Hillsboro, IL 62049-1913
Phone (217) 532-6191
Hospital & facility affiliations
- Hillsboro Area Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.76 of 100
- Quality
- 54.98
- Promoting interoperability
- 85
- Improvement activities
- 40
- Cost
- 73.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Current | Accepting new patients | |
| Complexcare Medical Group Midwest H PLLC | Current | Accepting new patients | |
| Granite City Clinic Corp | Past | Accepting new patients |
Locations
471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550
1300 E Tremont St
Hillsboro, IL 62049
Phone (215) 532-6191
1300 E Tremont St
Ste 300
Hillsboro, IL 62049
525 S Macon St
Moweaqua, IL 62550
Phone (217) 433-2020
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Granite City, IL
- NPI 1003892464
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hillsboro, IL
- NPI 1194705210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1245791847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 NORMAN D ACRES RD N",
"city": "TROY",
"state": "IL",
"postal_code": "622942445",
"telephone_number": "618-667-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PROFESSIONAL PARK DR STE B",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620625830",
"telephone_number": "618-288-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "JAMIE",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209019130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.