Active NPI
Monica Elizabeth Schmidt, D.O.
- Family Medicine Physician
- Grand Rapids, MI
National Provider Identifier
1699904888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO-04864
- Practice address
- 2201 Mission Hills Dr SE
Grand Rapids, MI 49546-5586 - Phone
- (166) 178-9276
- NPI assigned
- Jul 8, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO-04864 | IA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2201 Mission Hills Dr SE
Grand Rapids, MI 49546-5586
Mailing address
PSC 26 Box 36
Apo, AE 09447-0001
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36.168014 | Other | IL | STATE LICENSE |
| 98286 | Other | GA | STATE LICENSE |
| COPS147 | Other | NE | STATE LICENSE |
| U8496 | Other | TX | STATE LICENSE |
| 5550 | Other | TN | STATE LICENSE |
| CDR.0003489 | Other | CO | STATE LICENSE |
| DO210012343 | Other | DC | STATE LICENSE |
| EMC0004369 | Other | MI | STATE LICENSE |
| 02007600A | Other | IN | STATE LICENSE |
| 34C.000232 | Other | OH | STATE LICENSE |
| 3501 | Other | AL | STATE LICENSE |
| DO-04864 | Other | IA | STATE LICENSE |
| DO.OP.61515017-IMLC | Other | WA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TN, TX, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2129 | TN | MD | Audiologist-Hearing Aid Fitter |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1699904888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 26 BOX 36",
"city": "APO",
"state": "AE",
"postal_code": "094470001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 MISSION HILLS DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495465586",
"telephone_number": "166-178-9276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "MONICA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-08",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "DO-04864",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "36.168014",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "98286",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "COPS147",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "U8496",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "5550",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "CDR.0003489",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DO210012343",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "EMC0004369",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "02007600A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "34C.000232",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "3501",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DO-04864",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DO.OP.61515017-IMLC",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.