Individual provider Active NPI

Bergen Nicole Schattschneider, PA

  • Physician Assistant
  • Ames, IA
National Provider Identifier
1568086205
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
105195 Issued in IA
Practice address
3510 Lincoln Way
Ames, IA 50014-8533
Phone
(515) 232-0628
Fax
(515) 232-0727
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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 105195 IA Primary

Addresses

Primary practice location

3510 Lincoln Way
Ames, IA 50014-8533

Mailing address

1200 University Ave Ste 200
Des Moines, IA 50314-2355
Phone (515) 248-1447

Other names 1

  • Bergen Nicole Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20220310002573 IA Practitioner - Physician Assistant 6901291806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Care IncGroup PAC ID 8426966755, 72 clinicians

Practice addresses (Care Compare)

1200 University Ave
Suite 120
Des Moines, IA 50314-2355
Phone (515) 248-1500

2353 SE 14TH St
Des Moines, IA 50320-1109
Phone (515) 248-1400

3509 E 29TH St
Des Moines, IA 50317-4253
Phone (515) 248-1600

7555 Hickman Rd
Urbandale, IA 50322-4620
Phone (515) 225-7201

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Care, Inc. CurrentSince Jun 9, 2025 Accepting new patients
Primary Health Care, Inc. CurrentSince Jun 9, 2025 Accepting new patients
Primary Health Care, Inc. Past Accepting new patients

Locations

3510 Lincoln Way
Ames, IA 50014
Phone (515) 232-0626

3509 E 29th St
Des Moines, IA 50317
Phone (515) 248-1600

1200 University Ave
Ste 200
Des Moines, IA 50314
Phone (515) 248-1447

2353 SE 14th St
Des Moines, IA 50320
Phone (515) 248-1400

Interoperability endpoints

  • Direct secure messaging: bschattschneider806569@direct.ochin.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1568086205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY AVE STE 200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142355",
            "telephone_number": "515-248-1447",
            "fax_number": "515-248-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 LINCOLN WAY",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500148533",
            "telephone_number": "515-232-0628",
            "fax_number": "515-232-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHATTSCHNEIDER",
        "first_name": "BERGEN",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "105195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERGEN",
            "last_name": "BROWN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.