Individual provider Active NPI

Nicole Leanna Schmelz, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1417775826
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704322384 Issued in MI
Practice address
5550 Summer Ridge Way Apt J
Kalamazoo, MI 49009-1054
Phone
(269) 299-9383
NPI assigned
Oct 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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 4704322384 MI Primary

Addresses

Primary practice location

5550 Summer Ridge Way Apt J
Kalamazoo, MI 49009-1054

Mailing address

5049 Lafontaine St
Detroit, MI 48236-2239

Other practice location 1

650 Trade Centre Way Ste 140
Portage, MI 49002-0411
Phone (269) 492-6636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250324001403 MI Practitioner - Nurse Practitioner 4385166917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

650 Trade Centre Way
Suite 140
Portage, MI 49002-0411
Phone (517) 882-3732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC CurrentSince Jan 11, 2025 Accepting new patients
Downriver Mental Health Clinic PC CurrentSince Jan 11, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

650 Trade Centre Way
Ste 140
Portage, MI 49002
Phone (269) 492-6636

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.nicoleschmelz@150339.advancedmd-direct.com

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": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1417775826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5049 LAFONTAINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 SUMMER RIDGE WAY APT J",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091054",
            "telephone_number": "269-299-9383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Trade Centre Way Ste 140",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490020411",
            "country_code": "US",
            "telephone_number": "269-492-6636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMELZ",
        "first_name": "NICOLE",
        "middle_name": "LEANNA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704322384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.