Individual provider Active NPI

Cassandra Lynne Schroer, NP

  • Family Nurse Practitioner
  • Lockesburg, AR
National Provider Identifier
1265920177
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005619 Issued in AR
Practice address
3397 N Camellia
Lockesburg, AR 71846-9608
Phone
(870) 289-5190
NPI assigned
Apr 26, 2018
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005619 AR Primary

Addresses

Primary practice location

3397 N Camellia
Lockesburg, AR 71846-9608

Mailing address

3397 N Camellia
Lockesburg, AR 71846-9608
Phone (870) 289-5190

Other identifiers 1

IdentifierTypeStateIssuer
200801320AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181001002683 AR Practitioner - Nurse Practitioner 1355692393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schroer Medical LLCGroup PAC ID 0648670315, 2 clinicians

Practice addresses (Care Compare)

3397 N Camellia
Lockesburg, AR 71846-9608
Phone (870) 289-5190

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schroer Medical, LLC CurrentSince Apr 1, 2021 Accepting new patients
Vaught Care Center LLC PastSince Apr 18, 2018 Accepting new patients

Locations

206 W Main St
Horatio, AR 71842
Phone (870) 289-5190

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23837/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 5

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1265920177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3397 N CAMELLIA",
            "city": "LOCKESBURG",
            "state": "AR",
            "postal_code": "718469608",
            "telephone_number": "870-289-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3397 N CAMELLIA",
            "city": "LOCKESBURG",
            "state": "AR",
            "postal_code": "718469608",
            "telephone_number": "870-289-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROER",
        "first_name": "CASSANDRA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200801320A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockesburg, AR

Sources for this page

Verify at the official NPI Registry.