Individual provider Active NPI

Deborah K Schlick, NP

  • Family Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1659401933
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0376851 Issued in MO
Practice address
23 Doctors Park
Cape Girardeau, MO 63703
Phone
(573) 332-0700
Fax
(573) 332-0714
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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 0376851 MO Primary

Addresses

Primary practice location

23 Doctors Park
Cape Girardeau, MO 63703

Mailing address

23 Doctors Park
Cape Girardeau, MO 63703-4927
Phone (573) 332-0700

Other practice location 1

18 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 331-5589

Other practice location 2

18 Doctors Park
Cape Girardeau, MO 63703
Phone (573) 331-5589

Other identifiers 2

IdentifierTypeStateIssuer
P00607760OtherMORR MCR
1659401933MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040511001573 MO Practitioner - Nurse Practitioner 9931198199 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0376851MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Delta Medical Center CurrentSince May 1, 2024 Accepting new patients
Missouri Delta Medical Center CurrentSince May 1, 2024 Accepting new patients

Locations

23 Doctors Park
Cpe Girardeau, MO 63703
Phone (573) 332-0700

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1659401933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "telephone_number": "573-332-0700",
            "fax_number": "573-332-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63703",
            "telephone_number": "573-332-0700",
            "fax_number": "573-332-0714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Doctors Park",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637034928",
            "country_code": "US",
            "telephone_number": "573-331-5589",
            "fax_number": "573-331-3351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Doctors Park",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "63703",
            "country_code": "US",
            "telephone_number": "573-331-5589",
            "fax_number": "573-331-3351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLICK",
        "first_name": "DEBORAH",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "0376851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00607760",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659401933",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.