Kelsey Diane Schmidt

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A181218 Issued in IA

Practice address

2704 Enterprise Ave
Spirit Lake, IA 51360-1073

Phone

(712) 336-2728

NPI assigned

Jun 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakes Dermatology PLLCGroup PAC ID 4082913637, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lakes Dermatology, PLLC

  • Nurse Practitioner
  • Spirit Lake, IA
  • NPI 1194186833
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lakes Regional Healthcare

  • General Acute Care Hospital
  • Spirit Lake, IA
  • NPI 1508862012
  Care Compare affiliation

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1366286015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 30TH ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607576",
            "telephone_number": "605-354-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 ENTERPRISE AVE",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601073",
            "telephone_number": "712-336-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KELSEY",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "161162",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A181218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Marie Ross, LMSW
• Sacred Center LLC
• Beth R Samuelson, RD
• Sanford Health Network
• Sanford Healthcare Accessories, LLC
• Zoe Schneider
• Audrey Ann Schoenthal, LMFT, LMHC
• Dawn R Schulz, MA OTR/L
• Schwartz Chiropractic
• Michelle Lee Schwartz-Webb, D.C.

• Family Nurse Practitioner in Spirit Lake, IA
• Providers in Spirit Lake, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.