Individual provider Active NPI

Jeffrey Matthew Schmidt, PA-C

  • Medical Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1699093229
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0003541 Issued in CO
Practice address
575 Kincheloe Loop
Peterson Afb
Colorado Springs, CO 80926
Phone
(719) 554-9717
NPI assigned
May 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.0003541 CO Primary

Addresses

Primary practice location

575 Kincheloe Loop
Peterson Afb
Colorado Springs, CO 80926

Mailing address

575 Kincheloe Loop
Peterson Afb
Colorado Springs, CO 80926
Phone (719) 554-9717

Other practice location 1

Ft. Drum
Apo, AE 13602
Phone (719) 244-7466

Other practice location 2

3245 E US Highway 50 Unit E
Canon City, CO 81212-9343
Phone (719) 285-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20221214000034 CO Practitioner - Physician Assistant 5799154753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

3245 E US Hwy 50 Unit E
Stmcc Urgent
Canon City, CO 81212-9343
Phone (719) 285-2888

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Jan 1, 2023 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 1, 2023 Accepting new patients

Locations

3245 E US Highway 50
Unit E
Canon City, CO 81212
Phone (719) 285-2700

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1699093229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 KINCHELOE LOOP",
            "address_2": "PETERSON AFB",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80926",
            "telephone_number": "719-554-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 KINCHELOE LOOP",
            "address_2": "PETERSON AFB",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80926",
            "telephone_number": "719-554-9717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ft. Drum",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "13602",
            "country_code": "US",
            "telephone_number": "719-244-7466",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "3245 E US Highway 50 Unit E",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812129343",
            "country_code": "US",
            "telephone_number": "719-285-2888",
            "fax_number": "719-285-2889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JEFFREY",
        "middle_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0003541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.