Individual provider Active NPI

Jeanette Lynne Schmidt, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1497723449
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001738A Issued in IN
Practice address
3700 Washington Ave Ste a
Evansville, IN 47714-0541
Phone
(812) 485-7680
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001738A IN
Family Nurse Practitioner 363LF0000X 71001738A IN Primary

Addresses

Primary practice location

3700 Washington Ave Ste a
Evansville, IN 47714-0541

Mailing address

3700 Washington Ave # 3a
Evansville, IN 47714-0541

Other identifiers 1

IdentifierTypeStateIssuer
200899450MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeanette.schmidt.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080613000082 IN Practitioner - Nurse Practitioner 0143391425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

3700 Washington Ave
3Rd Floor
Evansville, IN 47750-0541
Phone (812) 485-7843

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
71001738AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC CurrentSince Apr 25, 2016 Accepting new patients
St Mary's Medical Group, LLC Nurse Practitioner CurrentSince Apr 25, 2016 Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner Past Accepting new patients
St. Mary's Health, Inc Nurse Practitioner Past Accepting new patients
Deaconess Hospital Inc Nurse Practitioner Past Accepting new patients

Locations

901 Saint Marys Dr
Ste 200
Evansville, IN 47714
Phone (812) 485-6030

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

3700 Washington Ave
#3A
Evansville, IN 47714
Phone (812) 485-7680

3700 Washington Ave
Ste A
Evansville, IN 47714
Phone (812) 485-7680

3700 Washington Ave
Fl 3
Evansville, IN 47714
Phone (812) 485-7680

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

Organizations & group practices 5

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 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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1497723449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE # 3A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140541",
            "telephone_number": "812-485-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JEANETTE",
        "middle_name": "LYNNE",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001738A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001738A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200899450",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeanette.schmidt.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "3700 Washington Ave Ste A",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.