Alicia Maria Schroeder, NP
Individual provider Active NPI Family Nurse Practitioner · Orcutt, CA
NPI 1639627730 · NPPES record last updated Apr 21, 2024
Key facts
- NPI
- 1639627730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95005020 (CA)
- Practice address
- 1145 E Clark Ave Ste C
Orcutt, CA 93455-5151 - Phone
- (805) 332-4626
- Fax
- (805) 345-2175
- NPI assigned
- Sep 17, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cottage Clinical Network LLC
Practice addresses (Care Compare)
1145 E Clark Ave
Suite C
Orcutt, CA 93455-5151
Phone (805) 332-4626
1606 E Clark Ave
Suite 2
Santa Maria, CA 93455-7507
Phone (805) 569-7351
Hospital & facility affiliations
- Marian Regional Medical Center
- French Hospital Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161116001574 | CA | Practitioner - Nurse Practitioner | 8426337379 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottage Clinical Network, LLC | Current |
Accepting new patients | |
| Orcutt Direct Care an Advanced Practice Nursing Corp | Current |
Accepting new patients | |
| Cottage Medical Associates | Past | Accepting new patients |
Locations
328 McMurray Rd
Ste 102
Buellton, CA 93427
Phone (805) 688-2600
7070 Hollister Ave
Ste C23
Goleta, CA 93117
7070 Hollister Ave
Ste 103
Goleta, CA 93117
Phone (805) 324-9270
1606 E Clark Ave
#102
Orcutt, CA 93455
777 E Foothill Blvd
San Luis Obispo, CA 93405
Phone (805) 762-4348
3970 Broad St
Ste 2
San Luis Obispo, CA 93401
Phone (805) 762-4996
1298 Coast Village Rd
Santa Barbara, CA 93108
Phone (805) 565-1565
3885 State St
Ste A
Santa Barbara, CA 93105
Phone (805) 569-7351
5652 Calle Real
Santa Barbara, CA 93117
Phone (805) 641-6033
1606 E Clark Ave
Ste 2
Santa Maria, CA 93455
1145 E Clark Ave
Ste C
Santa Maria, CA 93455
Phone (805) 332-4626
1846 N Broadway
#A
Santa Maria, CA 93454
Phone (805) 361-4279
3596 Skyway Dr
Ste A
Santa Maria, CA 93455
1708 S Victoria Ave
Ste D
Ventura, CA 93003
Phone (805) 290-4985
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95005020 | CA | Yes |
Addresses
Primary practice location
1145 E Clark Ave Ste C
Orcutt, CA 93455-5151
Mailing address
1145 E Clark Ave Ste C
Orcutt, CA 93455-5151
Phone (805) 332-4626
Other names
- Alicia Maria Ledesma
Other providers in Orcutt, CA
- Stephanie Quintanar
- Iran Rahbar
- Rancho Maria CLHF
- Paige Marie Ritari
- Thomas Anthony Sazani
- Mary Josephine Silbernagle
- Amanda Leeann Stillwell
- Darrell Lee Stock Jr.
- Lacey Taglia
- Daniel Joseph Thompson Jr.
All providers in Orcutt, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.