Individual provider Active NPI

Kathleen Anne Schachman, RN, PHD

  • Family Nurse Practitioner
  • Bay City, MI
National Provider Identifier
1427221159
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35731 Issued in MT
Practice address
1200 Washington Ave
Bay City, MI 48708-5756
Phone
(989) 895-4009
NPI assigned
Apr 2, 2008
Last updated
Nov 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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 35731 MT Primary

Addresses

Primary practice location

1200 Washington Ave
Bay City, MI 48708-5756

Mailing address

1200 Washington Ave
Bay City, MI 48708-5756
Phone (989) 895-4009

Other identifiers 2

IdentifierTypeStateIssuer
1427221159MedicaidMT
810542541OtherMTCOMMERCIAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
35731MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Bay CurrentSince Oct 2, 2017 Accepting new patients
Bay-Arenac Behavioral Health PastSince Oct 2, 2017 Accepting new patients
Peak Health and Wellness, PLLC Past Accepting new patients

Locations

1200 Washington Ave
Bay City, MI 48708
Phone (989) 895-2035

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1427221159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WASHINGTON AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085756",
            "telephone_number": "989-895-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WASHINGTON AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085756",
            "telephone_number": "989-895-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACHMAN",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RN, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "35731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427221159",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "810542541",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.