Individual provider Active NPI

Michael Benedict Schneider, MD

  • Maternal & Fetal Medicine Physician
  • Boise, ID
National Provider Identifier
1457399560
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MC-0632 Issued in ID
Practice address
900 N Liberty St Ste 206
Boise, ID 83704-8729
Phone
(208) 302-1100
Fax
(208) 302-1155
NPI assigned
Jun 2, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X MC-0632 ID Primary
Maternal & Fetal Medicine Physician 207VM0101X MD204061 OR
Maternal & Fetal Medicine Physician 207VM0101X 23586 TN

Addresses

Primary practice location

900 N Liberty St Ste 206
Boise, ID 83704-8729

Mailing address

3340 E Goldstone Dr
Meridian, ID 83642-1026
Phone (208) 302-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201019002827 ID Practitioner - Obstetrics/Gynecology 0143294926 Reassigns benefits to 1 organization
I20231228002239 WI Practitioner - Obstetrics/Gynecology 0143294926 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MC-0632IDMDMaternal & Fetal Medicine Physician
MD204061ORMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Dec 13, 2023 Accepting new patients
Oconto Hospital & Medical Center, Inc. CurrentSince Dec 13, 2023 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Dec 13, 2023 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Dec 13, 2023 Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients
Baptist Memorial Medical Group Inc Past Accepting new patients
Bellin Memorial Hospital Inc Past Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

704 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-3784

720 S Van Buren St
Ste 101
Green Bay, WI 54301
Phone (920) 430-8120

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Interoperability endpoints

  • Direct secure messaging: mschneider1020859@direct.emplifyhealth.org

Organizations & group practices 10

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457399560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-302-1100",
            "fax_number": "208-302-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N LIBERTY ST STE 206",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048729",
            "telephone_number": "208-302-1100",
            "fax_number": "208-302-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "MICHAEL",
        "middle_name": "BENEDICT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "ID",
            "license": "MC-0632",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OR",
            "license": "MD204061",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TN",
            "license": "23586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.