Individual provider Active NPI

Desiree Anne Schmidt, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1447314125
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01216 Issued in KS
Practice address
1100 N Saint Francis St
Ste 130
Wichita, KS 67214-2878
Phone
(316) 264-3505
Fax
(316) 264-0908
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01216 KS Primary

Addresses

Primary practice location

1100 N Saint Francis St
Ste 130
Wichita, KS 67214-2878

Mailing address

1100 N Saint Francis St
Ste 130
Wichita, KS 67214-2878
Phone (316) 264-3505

Other identifiers 1

IdentifierTypeStateIssuer
200531400BMedicaidKS

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
I20071121000242 KS Practitioner - Physician Assistant 6002904232 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Kansas Post Acute Medical Services 1 PAGroup PAC ID 1557634193, 58 clinicians

Practice addresses (Care Compare)

1200 E 7TH St
Kansas Post Acute Medical Services
Newton, KS 67114-2820
Phone (316) 217-9113

3636 N Ridge Rd
400 Via Christi Village Ridge
Wichita, KS 67205-1221
Phone (316) 462-3636

719 N Klein Cir
Derby, KS 67037-7019
Phone (316) 260-4447

777 N McLean Blvd
Via Christi Village McLean Inc
Wichita, KS 67203-4980
Phone (316) 942-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-01216KSMDPhysician Assistant

Organizations & group practices 4

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 1

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1447314125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N SAINT FRANCIS ST",
            "address_2": "STE 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142878",
            "telephone_number": "316-264-3505",
            "fax_number": "316-264-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N SAINT FRANCIS ST",
            "address_2": "STE 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142878",
            "telephone_number": "316-264-3505",
            "fax_number": "316-264-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "DESIREE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200531400B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.