Individual provider Active NPI

Alicia Maria Schroeder, NP

  • Family Nurse Practitioner
  • Orcutt, CA
National Provider Identifier
1639627730
Registry record updated Apr 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005020 Issued in 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
Last updated
Apr 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2024

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 95005020 CA Primary

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 1

  • Alicia Maria Ledesma Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20161116001574 CA Practitioner - Nurse Practitioner 8426337379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 1850712530, 57 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95005020CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orcutt Direct Care an Advanced Practice Nursing Corp CurrentSince May 12, 2023 Accepting new patients
Cottage Clinical Network, LLC CurrentSince Aug 30, 2021 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 103
Goleta, CA 93117
Phone (805) 324-9270

7070 Hollister Ave
Ste C23
Goleta, CA 93117

3970 Broad St
Ste 2
San Luis Obispo, CA 93401
Phone (805) 762-4996

777 E Foothill Blvd
San Luis Obispo, CA 93405
Phone (805) 762-4348

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

1145 E Clark Ave
Ste C
Santa Maria, CA 93455
Phone (805) 332-4626

1606 E Clark Ave
#102
Santa Maria, CA 93455

1606 E Clark Ave
Ste 2
Santa Maria, CA 93455

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1474070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713657600000",
    "number": "1639627730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 E CLARK AVE STE C",
            "city": "ORCUTT",
            "state": "CA",
            "postal_code": "934555151",
            "telephone_number": "805-332-4626",
            "fax_number": "805-345-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E CLARK AVE STE C",
            "city": "ORCUTT",
            "state": "CA",
            "postal_code": "934555151",
            "telephone_number": "805-332-4626",
            "fax_number": "805-345-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "ALICIA",
        "middle_name": "MARIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-17",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "LEDESMA",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orcutt, CA

Sources for this page

Verify at the official NPI Registry.