Jeffery R. Schultz, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ANT9242362 Issued in FL

Practice address

202 Prospect Dr
Glendive, MT 59330-1943

Phone

(406) 345-3345

Fax

(406) 345-3347

NPI assigned

May 25, 2010

Last updated

Jul 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MT, ND, WA, MI4 enrollments

Enrollment records 4

Merit-based Incentive Payment System (MIPS)

Final score

74.5 of 100Reported as group

Quality

70

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

90.28 of 100Reported as group

Quality

94

Promoting interoperability

100

Improvement activities

40

Cost

73.6

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Glendive Medical Center, Inc

  • Critical Access Hospital Clinic/Center
  • Glendive, MT
  • NPI 1033129622
  Medicare reassignment NPD
• Montana Gastroenterology, PLLC

  • Clinic/Center
  • Missoula, MT
  • NPI 1821612946
  Medicare reassignment NPD
• Anesthesia Associates of the Lower Peninsula PC

  • Anesthesiology Physician
  • Saginaw, MI
  • NPI 1740152412
  Medicare reassignment NPD
• Capital Medical Center Specialty Physicians, LLC

  • Occupational Medicine Physician
  • Olympia, WA
  • NPI 1760785281
  Medicare reassignment NPD
• Mercy Hospital of Devils Lake

  dba CHI St Alexius Health Devils Lake

  • Critical Access Hospital
  • Devils Lake, ND
  • NPI 1659343093
  Medicare reassignment NPD
• Mercy Hospital of Devils Lake

  dba CHI St Alexius Health Devils Lake

  • Emergency Medicine Physician
  • Devils Lake, ND
  • NPI 1790751170
  Medicare reassignment NPD
• Resource Anesthesiology Associates of Mi PC

  • Anesthesiology Physician
  • Saginaw, MI
  • NPI 1568755882
  Medicare reassignment NPD
• Glendive Medical Center, Inc

  • Hospitalist Physician
  • Glendive, MT
  • NPI 1174836506
  NPD
• Glendive Medical Center, Inc

  dba Gabert Clinic

  • Rural Health Clinic/Center
  • Glendive, MT
  • NPI 1215040449
  NPD
• Mercy Hospital of Devils Lake

  dba CHI St Alexius Health Devils Lake Clinic

  • Clinic/Center
  • Devils Lake, ND
  • NPI 1184117293
  NPD
• Wolverine Anesthesia Consultants, Inc.

  • Anesthesiology Physician
  • Orlando, FL
  • NPI 1558381392

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1255650610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 PROSPECT DR",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301943",
            "telephone_number": "406-345-3345",
            "fax_number": "406-345-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PROSPECT DR",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301943",
            "telephone_number": "406-345-3345",
            "fax_number": "406-345-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JEFFERY",
        "middle_name": "R.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ANT9242362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025769 00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G00FP",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS (TRICARE - SOUTH REGION)",
            "identifier": "1255650610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Michelle Roos, LAC
• Jacqueline Salisbury, LCSW
• Eric Cade Schaefer
• Jerry D Schlepp, M.A.,LAC
• Karlee Schmidt, PHARMD
• Robert David Schwab, LCPC
• Candice Shaikh, APRN, PMHNP-BC
• Martin Shaver, FNP-BC
• Nathan Alfred Sickler, DMD
• Ryann Smelser

• Certified Registered Nurse Anesthetist in Glendive, MT
• Providers in Glendive, MT by specialty
• Certified Registered Nurse Anesthetist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.