Individual provider Active NPI

Charles Wesley Schott III, FNP

  • Family Nurse Practitioner
  • Port Ludlow, WA
National Provider Identifier
1407043235
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60216750 Issued in WA
Practice address
9481 Oak Bay Rd
Suite a
Port Ludlow, WA 98365-9794
Phone
(360) 437-5067
Fax
(360) 437-4158
NPI assigned
Sep 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60216750 WA Primary

Addresses

Primary practice location

9481 Oak Bay Rd
Suite a
Port Ludlow, WA 98365-9794

Mailing address

9481 Oak Bay Rd
Suite a
Port Ludlow, WA 98365-9794
Phone (360) 437-5067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20110923000561 WA Practitioner - Nurse Practitioner 2062683980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, San Diego School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1010 Sheridan St
Suite 101
Port Townsend, WA 98368-2901
Phone (360) 385-3500

89 Breaker LN
Port Ludlow, WA 98365-9766
Phone (360) 437-5067

934 Sheridan St
Port Townsend, WA 98368-2957
Phone (360) 385-5338

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60216750WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Public Hospital District No 2 CurrentSince Jul 14, 2011 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Jul 14, 2011 Accepting new patients
Jefferson County Public Hospital District No 2 Past Accepting new patients

Locations

9481 Oak Bay Rd
Ste A
Port Ludlow, WA 98365
Phone (360) 379-2254

89 Breaker Ln
Port Ludlow, WA 98365
Phone (360) 437-5067

915 Sheridan St
Port Townsend, WA 98368
Phone (360) 379-8031

934 Sheridan St
Port Townsend, WA 98368
Phone (360) 385-5330

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

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.

Hospital & facility affiliations 5

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1407043235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9481 OAK BAY RD",
            "address_2": "SUITE A",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983659794",
            "telephone_number": "360-437-5067",
            "fax_number": "360-437-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9481 OAK BAY RD",
            "address_2": "SUITE A",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983659794",
            "telephone_number": "360-437-5067",
            "fax_number": "360-437-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOTT",
        "first_name": "CHARLES",
        "middle_name": "WESLEY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60216750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Ludlow, WA

Sources for this page

Verify at the official NPI Registry.