Active NPI
Kelly Rose Schmidt, PA-C
- Physician Assistant
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 60484
- Practice address
- 177 La Casa Via Ste 200
Walnut Creek, CA 94598-6101 - Phone
- (925) 296-7333
- NPI assigned
- Jul 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 60484 | CA | Primary |
Addresses
Primary practice location
177 La Casa Via Ste 200
Walnut Creek, CA 94598-6101
Mailing address
1450 Treat Blvd Ste 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828
Other practice location 1
19555 N 59th Ave
Glendale, AZ 85308-6813
Phone (623) 572-3215
Other practice location 2
2324 Santa Rita Rd Ste 2
Pleasanton, CA 94566-4150
Phone (925) 846-5100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
177 La Casa Via
Suite 200E
Walnut Creek, CA 94598-6101
Phone (925) 692-5927
2400 Balfour Rd
Suite 120
Brentwood, CA 94513-4956
Phone (925) 308-8112
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60484 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Physician Network | Current | Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597
177 La Casa Via
Ste 200
Walnut Creek, CA 94598
Phone (925) 296-7333
Interoperability endpoints
- kschmidt176395@ehr.johnmuirhealth.com
- kmoran676206@hisp.ehr.sutterhealth.org
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.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1649842246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168",
"telephone_number": "925-952-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 LA CASA VIA STE 200",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945986101",
"telephone_number": "925-296-7333"
}
],
"practiceLocations": [
{
"address_1": "19555 N 59th Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853086813",
"country_code": "US",
"telephone_number": "623-572-3215",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2324 Santa Rita Rd Ste 2",
"address_purpose": "LOCATION",
"city": "Pleasanton",
"state": "CA",
"postal_code": "945664150",
"country_code": "US",
"telephone_number": "925-846-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHMIDT",
"first_name": "KELLY",
"middle_name": "ROSE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-13",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "60484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.