Individual provider Active NPI

Danielle Nicole Schweidenback, FNP-BC

  • Family Nurse Practitioner
  • Chester, CT
National Provider Identifier
1609534437
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10.151645 Issued in CT
Practice address
150 Main St
Chester, CT 06412-1340
Phone
(860) 358-5005
NPI assigned
Nov 29, 2021
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10.151645 CT Primary

Addresses

Primary practice location

150 Main St
Chester, CT 06412-1340

Mailing address

28 Crescent St
Middletown, CT 06457-3654

Other names 1

  • Danielle Nicole Schioppo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20220125000723 CT Practitioner - Nurse Practitioner 8729470786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

150 Main St
Chester, CT 06412-1340
Phone (860) 358-5005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10.151645CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care, Inc Family CurrentSince Jan 10, 2022 Accepting new patients
MHS Primary Care Inc CurrentSince Jan 10, 2022 Accepting new patients

Locations

150 Main St
Chester, CT 06412
Phone (860) 526-4945

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040

Interoperability endpoints

  • Direct secure messaging: dschioppo10959@middlesexhealthprd.direct-ci.com

Organizations & group practices 2

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 4

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1609534437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MAIN ST",
            "city": "CHESTER",
            "state": "CT",
            "postal_code": "064121340",
            "telephone_number": "860-358-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEIDENBACK",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10.151645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "SCHIOPPO",
            "middle_name": "NICOLE",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chester, CT

Sources for this page

Verify at the official NPI Registry.