NPIMap

Individual provider Active NPI

Jane Carol Schmidt, RN CNP

  • Family Medicine Physician
  • Litchfield, MN
National Provider Identifier
1447214515
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R118105-4 Issued in MN
Practice address
520 South Sibley Ave
Affiliated Community Medical Centers
Litchfield, MN 55355
Phone
(320) 693-3233
Fax
(320) 693-3290
NPI assigned
Apr 14, 2006
Last updated
Sep 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R118105-4 MN Primary

Addresses

Primary practice location

520 South Sibley Ave
Affiliated Community Medical Centers
Litchfield, MN 55355

Mailing address

520 South Sibley Ave
Affiliated Community Medical Centers
Litchfield, MN 55355
Phone (320) 693-3233

Other identifiers 1

IdentifierTypeStateIssuer
023826100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091013000258 MN Practitioner - Nurse Practitioner 6305982984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MeekerGroup PAC ID 0840109740, shared by 4 NPIs, 44 clinicians

Practice addresses (Care Compare)

612 S Sibley Ave
Litchfield, MN 55355-3340
Phone (320) 693-3233

740 Parker Ave W
Dassel, MN 55325-1024
Phone (320) 693-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R118105-4MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Meeker CurrentSince Feb 1, 2020 Accepting new patients
County of Meeker CurrentSince Feb 1, 2020 Accepting new patients
County of Meeker Past Accepting new patients

Locations

740 Parker Ave W
Dassel, MN 55325
Phone (320) 275-4330

520 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3233

611 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-2804

612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242

Interoperability endpoints

  • Direct secure messaging: jschmidt436983@direct.centracare.com

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.

Hospital & facility affiliations 12

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1447214515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SOUTH SIBLEY AVE",
            "address_2": "AFFILIATED COMMUNITY MEDICAL CENTERS",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "55355",
            "telephone_number": "320-693-3233",
            "fax_number": "320-693-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SOUTH SIBLEY AVE",
            "address_2": "AFFILIATED COMMUNITY MEDICAL CENTERS",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "55355",
            "telephone_number": "320-693-3233",
            "fax_number": "320-693-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JANE",
        "middle_name": "CAROL",
        "credential": "RN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "R118105-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023826100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield, MN

Sources for this page

Verify at the official NPI Registry.