Active NPI
Caitlyn Rae Schultz, ARNP
- Family Nurse Practitioner
- Decorah, IA
National Provider Identifier
1285215525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A163192
- Practice address
- 901 Montgomery St
Decorah, IA 52101-2325 - Phone
- (563) 382-2911
- Fax
- (563) 382-1583
- NPI assigned
- Apr 19, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Registered Nurse | 163WX0106X | 141096 | IA | |
| Family Nurse Practitioner | 363LF0000X | A163192 | IA | Primary |
Addresses
Primary practice location
901 Montgomery St
Decorah, IA 52101-2325
Mailing address
901 Montgomery St
Decorah, IA 52101-2325
Phone (563) 382-2911
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Decorah | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141096 | IA | MD | Occupational Health Registered Nurse |
| A163192 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winneshiek Medical Center | Current | Accepting new patients | |
| Winneshiek Medical Center | Current | Accepting new patients | |
| Winneshiek Medical Center | Current | Accepting new patients |
Locations
901 Montgomery St
Decorah, IA 52101
Phone (319) 382-2911
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
Interoperability endpoints
- cschultz201077@uihcdirect.org
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.
-
- Critical Access Hospital
- Decorah, IA
- NPI 1619922051
-
- Multi-Specialty Clinic/Center
- Decorah, IA
- NPI 1992854863
-
- Community/Retail Pharmacy
- Decorah, IA
- NPI 1104507060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1285215525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MONTGOMERY ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012325",
"telephone_number": "563-382-2911",
"fax_number": "563-382-1583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MONTGOMERY ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012325",
"telephone_number": "563-382-2911",
"fax_number": "563-382-1583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "CAITLYN",
"middle_name": "RAE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-19",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0106X",
"taxonomy_group": "",
"desc": "Registered Nurse, Occupational Health",
"state": "IA",
"license": "141096",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A163192",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Decorah",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Decorah",
"address_1": "901 Montgomery St",
"city": "Decorah",
"state": "IA",
"country_code": "US",
"postal_code": "521012325",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Decorah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.