Individual provider Active NPI

Brenda S Schulty, FNP-C

  • Family Nurse Practitioner
  • Lambertville, MI
National Provider Identifier
1275889404
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.13519 Issued in OH
Practice address
7575 Secor Rd
Lambertville, MI 48144-9624
Phone
(734) 856-1800
NPI assigned
Jul 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 4704295060 MI
Family Nurse Practitioner 363LF0000X APRN.CNP.13519 OH Primary

Addresses

Primary practice location

7575 Secor Rd
Lambertville, MI 48144-9624

Mailing address

7575 Secor Rd
Lambertville, MI 48144-9624
Phone (734) 856-1800

Other practice location 1

725 S Shoop Ave
Wauseon, OH 43567-1702
Phone (419) 330-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120913000778 OH Practitioner - Nurse Practitioner 1951559012 Reassigns benefits to 3 organizations
I20130213000420 MI Practitioner - Nurse Practitioner 1951559012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians North Specialty Care LLCGroup PAC ID 1951707884, 345 clinicians
Mercy Health Physicians-North LLCGroup PAC ID 2668522400, 131 clinicians

Practice addresses (Care Compare)

2735 Navarre Ave
Oregon, OH 43616-3275
Phone (419) 696-8600

7581 Secor Rd
Lambertville, MI 48144-9624
Phone (734) 856-6360

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.13519OHMDFamily Nurse Practitioner
4704295060MIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Medical Partners LLC Single Specialty Current Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians-North LLC Single Specialty CurrentSince May 24, 2018 Accepting new patients
Hles of Ohio Inc CurrentSince Sep 1, 2012 Accepting new patients
Hles of Ohio Inc CurrentSince Sep 1, 2012 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince May 24, 2018 Accepting new patients
Hles of Ohio, Inc. Single Specialty Current Accepting new patients
Synergy Emergency Physicians, Inc. Single Specialty Past Accepting new patients

Locations

7581 Secor Rd
Lambertville, MI 48144
Phone (734) 854-1800

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

111 Clinton St
Maumee, OH 43537
Phone (419) 740-3022

2815 Dustin Rd
Ste C
Oregon, OH 43616
Phone (419) 691-5716

2735 Navarre Ave
Ste 101
Oregon, OH 43616
Phone (419) 691-3668

2735 Navarre Ave
Oregon, OH 43616
Phone (419) 690-8273

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

Interoperability endpoints

  • Direct secure messaging: bschulty110852@direct.bsmhealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1275889404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 SECOR RD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449624",
            "telephone_number": "734-856-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 SECOR RD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449624",
            "telephone_number": "734-856-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 S Shoop Ave",
            "address_purpose": "LOCATION",
            "city": "Wauseon",
            "state": "OH",
            "postal_code": "435671702",
            "country_code": "US",
            "telephone_number": "419-330-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTY",
        "first_name": "BRENDA",
        "middle_name": "S",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704295060",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.13519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lambertville, MI

Sources for this page

Verify at the official NPI Registry.