NPIMap

Individual provider Active NPI

Corlan J Vonderschmidt, PA-C

  • Surgical Physician Assistant
  • Lincoln, NE
National Provider Identifier
1568809549
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
2222 S 16TH St
Suite 305
Lincoln, NE 68502-3796
Phone
(402) 488-3002
Fax
(402) 483-8787
NPI assigned
May 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

2222 S 16TH St
Suite 305
Lincoln, NE 68502-3796

Mailing address

2222 S 16TH St
Suite 305
Lincoln, NE 68502-3796
Phone (402) 488-3002

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address corlan.vonderschmidtpac.p1@direct.neuroandspinalsurg.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130830000641 NE Practitioner - Physician Assistant 9638312192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurological and Spinal Surgery LLCGroup PAC ID 8527957851, 11 clinicians

Practice addresses (Care Compare)

1301 Grundman Blvd
Nebraska City, NE 68410-3319
Phone (402) 488-3002

2222 S 16TH St
Suite 305
Lincoln, NE 68502-3762
Phone (402) 488-3002

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: corlan.vonderschmidtpac.p1@direct.neuroandspinalsurg.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 8

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": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1568809549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST",
            "address_2": "SUITE 305",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023796",
            "telephone_number": "402-488-3002",
            "fax_number": "402-483-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST",
            "address_2": "SUITE 305",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023796",
            "telephone_number": "402-488-3002",
            "fax_number": "402-483-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDERSCHMIDT",
        "first_name": "CORLAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "corlan.vonderschmidtpac.p1@direct.neuroandspinalsurg.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2222 S 16th St",
            "address_2": "Suite 305",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685023796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.