Individual provider Active NPI

Joanne Schroeder, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1285392928
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202113245NP-PP Issued in OR
Practice address
55 Santa Clara Ave Ste 200
Oakland, CA 94610-1319
Phone
(510) 925-4440
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202113245NP-PP OR Primary

Addresses

Primary practice location

55 Santa Clara Ave Ste 200
Oakland, CA 94610-1319

Mailing address

945 Sunnyhills Rd
Oakland, CA 94610-2414
Phone (646) 270-7771

Other practice location 1

4212 SE Division St Ste 100
Portland, OR 97206-1680
Phone (503) 238-0705

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Joanne.Schroeder@Wilkes.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240715002128 OR Practitioner - Nurse Practitioner 9537604533 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
Cascadia HealthGroup PAC ID 7618873761, 53 clinicians

Practice addresses (Care Compare)

4212 SE Division St
Suite 100
Portland, OR 97206-1680
Phone (503) 236-7166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202113245NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cascadia Health CurrentSince Jun 24, 2024 Accepting new patients
Cascadia Health Current Accepting new patients

Locations

707 NW Everett St
Portland, OR 97209
Phone (503) 222-4906

4212 SE Division St
Ste 100
Portland, OR 97206
Phone (503) 238-0705

Interoperability endpoints

  • Direct secure messaging: jschroeder718437@direct.ochin.org
  • Direct secure messaging: joanne.schroeder@wilkes.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1285392928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 SUNNYHILLS RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102414",
            "telephone_number": "646-270-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SANTA CLARA AVE STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101319",
            "telephone_number": "510-925-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4212 SE Division St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972061680",
            "country_code": "US",
            "telephone_number": "503-238-0705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JOANNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202113245NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Joanne.Schroeder@Wilkes.edu",
            "affiliation": "N",
            "address_1": "945 Sunnyhills Rd",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946102414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.