Kelly Marie Schuder, PMHNP

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

APRN.CNP.0029693 Issued in OH

Practice address

6007 Norwell Dr
Dayton, OH 45449-3111

Phone

(937) 866-5009

NPI assigned

Jul 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians

Eventus Wholehealth Midwest IncGroup PAC ID 4183040470, 120 clinicians

Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Eventus Ecs, Inc

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1073353496

  OH

  Medicare reassignment Care Compare group NPD
• Eventus Wholehealth Midwest Inc

  • Family Medicine Physician
  • Columbus, IN
  • NPI 1386252757

  OH

  Medicare reassignment Care Compare group NPD
• Extended Care Specialists, Inc

  • Adult Medicine Physician
  • Merrillville, IN
  • NPI 1134146079

  OH

  Medicare reassignment Care Compare group NPD
• Eventus Ecs - Ohio LLC

  • Nurse Practitioner
  • Hilliard, OH
  • NPI 1972321842
  Medicare reassignment NPD

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1679209514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 NORWELL DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454493111",
            "telephone_number": "937-866-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 NORWELL DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454493111",
            "telephone_number": "937-866-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUDER",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "OH",
            "license": "APRN.CNP.0029693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Schroeder, CRNA
• Kristen Schroeder, AT
• Marjorie Schroeder, APRN
• Thomas Anthony Schroer, PH.D.
• Alexis Schroll
• Elizabeth Pallavi Schuen, OTD
• Melissa Schuler, PEER SUPPORT
• Jerome John Schulte Jr., MD
• Adam Schultz, DO
• Connie Schultz, CTRS

• Psychosomatic Medicine Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Psychosomatic Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.

Verify at the official NPI Registry.