Organization Active NPI

Jonna L Schmidt M D PC

  • Primary Care Clinic/Center
  • Hudson, MI
National Provider Identifier
1568630804
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
JS406858 Issued in MI
Legal business name
JONNA L SCHMIDT M D PC
Practice address
456 Cross St
Hudson, MI 49247-9706
Phone
(517) 448-8918
Fax
(517) 448-4085
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Dr. Jonna Leigh Schmidt, MDNPI 1841295698
Title
Owner
Phone
(517) 448-8918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X JS406858 MI Primary

Addresses

Primary practice location

456 Cross St
Hudson, MI 49247-9706

Mailing address

456 Cross St
PO Box 270
Hudson, MI 49247-9706
Phone (517) 448-8918

Other identifiers 4

IdentifierTypeStateIssuer
3263838MedicaidMI
03618OtherMIPARAMOUNT
1104600681OtherBCBSM
5854OtherMIHEALTH PLAN OF MI

Other names 1

  • Jonna L Schmidt MD PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080509000380 MI Part B Supplier - Clinic/Group Practice 6608955059 Receives reassigned benefits from 1 practitioner
Practice locations: Hudson, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0378814Jonna L Schmidt MD PC456 Cross Street, Hudson, MI 49247Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

456 Cross St
Hudson, MI 49247
Phone (517) 448-2455

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1568630804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 CROSS ST",
            "address_2": "PO BOX 270",
            "city": "HUDSON",
            "state": "MI",
            "postal_code": "492479706",
            "telephone_number": "517-448-8918",
            "fax_number": "517-448-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 CROSS ST",
            "city": "HUDSON",
            "state": "MI",
            "postal_code": "492479706",
            "telephone_number": "517-448-8918",
            "fax_number": "517-448-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONNA L SCHMIDT M D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "JONNA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-448-8918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "JS406858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3263838",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "03618",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1104600681",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MI",
            "identifier": "5854",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonna L Schmidt MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.