Individual provider Active NPI

Mary Elizabeth Schimmelpfennig, FNP

  • Family Nurse Practitioner
  • Burns, OR
National Provider Identifier
1447883525
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202001562NP-PP Issued in OR
Practice address
559 W Washington St
Burns, OR 97720-1441
Phone
(541) 573-2074
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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 202001562NP-PP OR Primary

Addresses

Primary practice location

559 W Washington St
Burns, OR 97720-1441

Mailing address

67876 Starvation Ridge Rd
Hines, OR 97738-9453
Phone (503) 467-6163

Other identifiers 1

IdentifierTypeStateIssuer
500776049MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20200418000589 OR Practitioner - Nurse Practitioner 1153751953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harney District HospitalGroup PAC ID 6800877424, 35 clinicians

Practice addresses (Care Compare)

557 W Washington St
Burns, OR 97720-1441
Phone (541) 573-7281

559 W Washington St
Harney District Hospital Family Care
Burns, OR 97720-1441
Phone (541) 573-2074

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
71.18
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harney District Hospital CurrentSince Apr 1, 2020 Accepting new patients
Harney District Hospital CurrentSince Apr 1, 2020 Accepting new patients
Harney District Hospital Family Medicine CurrentSince Apr 1, 2020 Accepting new patients

Locations

557 W Washington St
Burns, OR 97720
Phone (541) 573-3682

559 W Washington St
Burns, OR 97720
Phone (541) 573-2074

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1447883525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67876 STARVATION RIDGE RD",
            "city": "HINES",
            "state": "OR",
            "postal_code": "977389453",
            "telephone_number": "503-467-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W WASHINGTON ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201441",
            "telephone_number": "541-573-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIMMELPFENNIG",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202001562NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500776049",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burns, OR

Sources for this page

Verify at the official NPI Registry.