Individual provider Active NPI

Kimberly K Schmid, MD

  • Family Medicine Physician
  • Emporia, KS
National Provider Identifier
1619990918
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-27403 Issued in KS
Practice address
1602 W 15TH Ave Ste F
Emporia, KS 66801-9803
Phone
(620) 343-2500
Fax
(620) 343-2828
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-27403 KS Primary

Addresses

Primary practice location

1602 W 15TH Ave Ste F
Emporia, KS 66801-9803

Mailing address

1602 W 15TH Ave # F
Emporia, KS 66801-9803
Phone (620) 343-2500

Other identifiers 5

IdentifierTypeStateIssuer
103267OtherKSBC/BS OF KANSAS
100178OtherKSHPK INSURANCE
04-27403OtherKSMEDICAL LINCENSE
169622OtherKSCOVENTRY INSURANCE
2086174402MedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberlyschmid@fhfm.eclinicaldirectplus.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316001144 KS Practitioner - Family Practice 7012807985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1602 W 15TH Ave
Suite F
Emporia, KS 66801-9804
Phone (620) 343-2500

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Wichita, KS, CCN 178088
  • Hand in Hand Hospice Hospice, Emporia, KS, CCN 171518
  • Angels Care Hospice Hospice, Wichita, KS, CCN 171599
  • Newman Regional Health Hospital, Emporia, KS, CCN 171384

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-27403KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Schmid, MD PA Family Medicine CurrentSince Nov 1, 2003 Accepting new patients

Locations

1602 W 15th Ave
Ste F
Emporia, KS 66801
Phone (620) 343-2500

1301 W 12th Ave
Ste 101
Emporia, KS 66801
Phone (620) 343-2500

Interoperability endpoints

  • Direct secure messaging: kimberly.schmid@khindirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGFACA/Endpoint/JGFACA
  • Direct secure messaging: kimberly.schmid@fhfm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGFACA

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 5

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1619990918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W 15TH AVE # F",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668019803",
            "telephone_number": "620-343-2500",
            "fax_number": "620-343-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W 15TH AVE STE F",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668019803",
            "telephone_number": "620-343-2500",
            "fax_number": "620-343-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMID",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-27403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KANSAS",
            "identifier": "103267",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPK INSURANCE",
            "identifier": "100178",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LINCENSE",
            "identifier": "04-27403",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY INSURANCE",
            "identifier": "169622",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2086174402",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberlyschmid@fhfm.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1602 W 15th Ave Ste F",
            "city": "Emporia",
            "state": "KS",
            "country_code": "US",
            "postal_code": "668019803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.