Individual provider Active NPI

Diane Monica Schmitz, PA-C

  • Physician Assistant
  • Salem, OR
National Provider Identifier
1497238273
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA195972 Issued in OR
Practice address
960 Liberty St SE Ste 200
Salem, OR 97302-4195
Phone
(503) 399-0652
Fax
(503) 373-3852
NPI assigned
Sep 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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 PA195972 OR Primary

Addresses

Primary practice location

960 Liberty St SE Ste 200
Salem, OR 97302-4195

Mailing address

2055 Myrtle Ave NE
Salem, OR 97301-7269
Phone (509) 979-6761

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
I20200129001934 OR Practitioner - Physician Assistant 2466888144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Rheumatology and Infusions, LLCGroup PAC ID 5799117214, 4 clinicians

Practice addresses (Care Compare)

960 Liberty St SE
Suite 200
Salem, OR 97302-4195
Phone (503) 399-0652

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051
  • Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022
  • Willamette Valley Medical Center Hospital, McMinnville, OR, CCN 380071
  • Legacy Silverton Medical Center Hospital, Silverton, OR, CCN 380029
  • Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: diane.schmitz.p57@direct.wvp.nextgenshare.com

Organizations & group practices 1

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 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1497238273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 MYRTLE AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017269",
            "telephone_number": "509-979-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 LIBERTY ST SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024195",
            "telephone_number": "503-399-0652",
            "fax_number": "503-373-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "DIANE",
        "middle_name": "MONICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-08",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA195972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.