NPIMap

Individual provider Active NPI

Cory Thomas Schneider, APRN

  • Nurse Practitioner
  • Campbellsport, WI
National Provider Identifier
1306213780
Registry record updated Apr 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9409518 Issued in FL
Practice address
N848 County Rd W
Campbellsport, WI 53010-2402
Phone
(407) 455-4472
NPI assigned
Sep 1, 2015
Last updated
Apr 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6565-33 WI
Nurse Practitioner 363L00000X ARNP9409518 FL Primary

Addresses

Primary practice location

N848 County Rd W
Campbellsport, WI 53010-2402

Mailing address

25045 County Road 137
O Brien, FL 32071-4325
Phone (262) 339-2191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309001223 FL Practitioner - Nurse Practitioner 9133404478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Florida PLLCGroup PAC ID 6204166762, 31 clinicians

Practice addresses (Care Compare)

4000 SW 20TH Ave
Gainesville, FL 32607-4417
Phone (352) 377-1981

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9409518FLMDNurse Practitioner
6565-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Florida PLLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

4000 SW 20th Ave
Gainesville, FL 32607
Phone (352) 377-1981

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

3450 Oakton St
Ste 300
Skokie, IL 60076

Organizations & group practices 1

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 9

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": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618704000000",
    "number": "1306213780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25045 COUNTY ROAD 137",
            "city": "O BRIEN",
            "state": "FL",
            "postal_code": "320714325",
            "telephone_number": "262-339-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N848 COUNTY RD W",
            "city": "CAMPBELLSPORT",
            "state": "WI",
            "postal_code": "530102402",
            "telephone_number": "407-455-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "CORY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-01",
        "last_updated": "2021-04-18",
        "certification_date": "2021-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "6565-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9409518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsport, WI

Sources for this page

Verify at the official NPI Registry.