Shaneen D. Schmidt, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

40341 Issued in MN

Practice address

4 Deerwood Ave NW
Wadena, MN 56482-1253

Phone

(218) 631-1360

Fax

(218) 631-7571

NPI assigned

Aug 25, 2006

Last updated

Dec 27, 2012By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Minnesota Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Astera HealthGroup PAC ID 2961395272, shared by 8 NPIs, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vivie Home Health Home health agency, Alexandria, MN, CCN 248096
• Vivie Hospice Hospice, Alexandria, MN, CCN 241592
• Astera Health Hospital, Wadena, MN, CCN 241354

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sschmidt13038@direct.centracare.com

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Astera Health

  dba Tri-County Health Care-Bertha Clinic

  • Rural Health Clinic/Center
  • Bertha, MN
  • NPI 1134115942

  Corporate Director

  CMS ownership
• Astera Health

  dba Astera Health Wadena Clinic

  • Rural Health Clinic/Center
  • Wadena, MN
  • NPI 1134305162

  Corporate Director

  CMS ownership
• Astera Health

  dba Astera Health Henning Clinic

  • Rural Health Clinic/Center
  • Henning, MN
  • NPI 1194711986

  Corporate Director

  CMS ownership
• Astera Health

  dba Astera Health Verndale Clinic

  • Rural Health Clinic/Center
  • Verndale, MN
  • NPI 1407262405

  Corporate Director

  CMS ownership
• Astera Health

  dba Tri- County Health Care

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1477545333

  Corporate Director

  CMS ownership
• Astera Health

  dba Astera Health Sebeka Clinic

  • Rural Health Clinic/Center
  • Sebeka, MN
  • NPI 1831185636

  Corporate Director

  CMS ownership
• Astera Health

  dba Astera Health Ottertail Clinic

  • Rural Health Clinic/Center
  • Ottertail, MN
  • NPI 1871546663

  Corporate Director

  CMS ownership
• Astera Health

  dba Tri-County Health Care

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1881725224

  Corporate Director

  CMS ownership

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.

• Astera Health

  dba Astera Health Wadena Clinic

  • Rural Health Clinic/Center
  • Wadena, MN
  • NPI 1134305162
  Medicare reassignment NPD
• Astera Health

  dba Tri- County Health Care

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1477545333
  Medicare reassignment NPD

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

• Astera Health

  dba Tri- County Health Care

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1477545333
  Care Compare affiliation
• Astera Health

  dba Astera Health Ottertail Clinic

  • Rural Health Clinic/Center
  • Ottertail, MN
  • NPI 1871546663

  Hospital

  Care Compare affiliation
• Knute Nelson

  dba Knute Nelson Home Health

  • Home Health Agency
  • Alexandria, MN
  • NPI 1477676229
  Care Compare affiliation
• Knute Nelson

  dba Knute Nelson Hospice

  • Community Based Hospice Care Agency
  • Alexandria, MN
  • NPI 1548517675
  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1265549075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DEERWOOD AVE NW",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821253",
            "telephone_number": "218-631-1360",
            "fax_number": "218-631-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DEERWOOD AVE NW",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821253",
            "telephone_number": "218-631-1360",
            "fax_number": "218-631-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "SHANEEN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "40341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001311100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Riemer
• Jenny Lynn Roller, RNFA
• Jody D Rothermund, PA-C
• Luke Matthew Sailer, DDS
• David Eugene Sanderson, LADC
• Ashley Jill Schultz, PA-C
• Schwartzwald Drug Inc. (Peters Thrifty White Drug)
• Seip Drug LLC (Seip Prescription Shoppe)
• Paige Selvey, MD
• Shari Phillips LLC (Imagine Mental Health Counseling)

• Family Medicine Physician in Wadena, MN
• Providers in Wadena, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.