Individual provider Active NPI

Tandra Nicole Schmid, ANP

  • Adult Health Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1598056087
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
201150034NP Issued in OR
Practice address
2230 N Reserve St Ste 110
Missoula, MT 59808-1364
Phone
(406) 430-2035
NPI assigned
May 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 201150034NP OR Primary

Addresses

Primary practice location

2230 N Reserve St Ste 110
Missoula, MT 59808-1364

Mailing address

2230 N Reserve St Ste 110
Missoula, MT 59808-1364
Phone (406) 430-2035

Other practice location 1

5119 NE 57th Ave
Portland, OR 97218-2584
Phone (503) 215-8050

Other identifiers 1

IdentifierTypeStateIssuer
168395MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20240515001273 MT Practitioner - Nurse Practitioner 9436336674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Washington School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Good Health PC IncGroup PAC ID 5294106027, 48 clinicians

Practice addresses (Care Compare)

2230 N Reserve St
Suite 110
Missoula, MT 59808-1364
Phone (310) 658-3775

Hospital & facility affiliations

  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014
  • Community Medical Center Hospital, Missoula, MT, CCN 270023
  • Bitterroot Health - Daly Hospital Hospital, Hamilton, MT, CCN 271340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201150034NPORMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Good Health PC, Inc. CurrentSince Apr 26, 2024 Accepting new patients
Greater Good Health PC, Inc. Current Accepting new patients
Greater Good Health PC Inc CurrentSince Apr 26, 2024 Accepting new patients

Locations

2230 N Reserve St
Ste 110
Missoula, MT 59808
Phone (310) 658-3775

Interoperability endpoints

  • Direct secure messaging: tandra.schmid.1@28616.direct.athenahealth.com

Organizations & group practices 3

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 6

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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1598056087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 N RESERVE ST STE 110",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081364",
            "telephone_number": "406-430-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 N RESERVE ST STE 110",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081364",
            "telephone_number": "406-430-2035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5119 NE 57th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972182584",
            "country_code": "US",
            "telephone_number": "503-215-8050",
            "fax_number": "503-215-8082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMID",
        "first_name": "TANDRA",
        "middle_name": "NICOLE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201150034NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168395",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.