Individual provider Active NPI

Jamie L. Schneider, A.R.N.P.

  • Family Nurse Practitioner
  • Victoria, KS
National Provider Identifier
1407140932
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-75387-022 Issued in KS
Practice address
208 Marc Wagner Dr
Victoria, KS 67671-9589
Phone
(785) 735-2210
Fax
(785) 735-2229
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5375387022 KS
Family Nurse Practitioner 363LF0000X 53-75387-022 KS Primary

Addresses

Primary practice location

208 Marc Wagner Dr
Victoria, KS 67671-9589

Mailing address

208 Marc Wagner Dr
Victoria, KS 67671-9589
Phone (785) 735-2210

Other practice location 1

514 Cleveland St
Great Bend, KS 67530-3562
Phone (620) 792-8833

Other practice location 2

222 S Kansas St
Russell, KS 67665-3000
Phone (785) 483-3333

Other identifiers 1

IdentifierTypeStateIssuer
20033390AMedicaidKS

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL goldenrulehealthllc@gmail.net Health Information Exchange (HIE)
CONNECT URL goldenrulehealthllc@gmail.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20110826000185 KS Practitioner - Nurse Practitioner 1153591391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians
Rush County Memorial HospitalGroup PAC ID 3476564840, 9 clinicians

Practice addresses (Care Compare)

208 Marc Wagner Dr
Victoria, KS 67671-9589
Phone (785) 735-2210

3216 Vine St
Suite 20
Hays, KS 67601-1936
Phone (785) 261-7065

801 Locust St
La Crosse, KS 67548-9673
Phone (785) 222-2564

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5375387022KSMDFamily Medicine Physician
53-75387-022KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc. Current Accepting new patients
Hays Medical Center, Inc. Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Rush County Memorial Hospital Family CurrentSince Sep 1, 2020 Accepting new patients
Hays Medical Center, Inc CurrentSince Oct 1, 2024 Accepting new patients
Rush County Memorial Hospital Past Accepting new patients

Locations

3515 Broadway Ave
Great Bend, KS 67530
Phone (620) 786-6163

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

3216 Vine St
Ste 20
Hays, KS 67601
Phone (785) 261-7065

801 Locust St
La Crosse, KS 67548
Phone (785) 222-2545

Interoperability endpoints

  • Direct secure messaging: jamie.schneider.1@19355.direct.athenahealth.com

Organizations & group practices 6

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 8

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1407140932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MARC WAGNER DR",
            "city": "VICTORIA",
            "state": "KS",
            "postal_code": "676719589",
            "telephone_number": "785-735-2210",
            "fax_number": "785-735-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MARC WAGNER DR",
            "city": "VICTORIA",
            "state": "KS",
            "postal_code": "676719589",
            "telephone_number": "785-735-2210",
            "fax_number": "785-735-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Great Bend",
            "state": "KS",
            "postal_code": "675303562",
            "country_code": "US",
            "telephone_number": "620-792-8833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 S Kansas St",
            "address_purpose": "LOCATION",
            "city": "Russell",
            "state": "KS",
            "postal_code": "676653000",
            "country_code": "US",
            "telephone_number": "785-483-3333",
            "fax_number": "785-483-0781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "JAMIE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "5375387022",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75387-022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20033390A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "goldenrulehealthllc@gmail.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "208 Marc Wagner Dr",
            "city": "Victoria",
            "state": "KS",
            "country_code": "US",
            "postal_code": "676719589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "goldenrulehealthllc@gmail.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "208 Marc Wagner Dr",
            "city": "Victoria",
            "state": "KS",
            "country_code": "US",
            "postal_code": "676719589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victoria, KS

Sources for this page

Verify at the official NPI Registry.