Individual provider Active NPI

Marnie Schmidt, AGNP-C

  • Nurse Practitioner
  • Fowlerville, MI
National Provider Identifier
1740786540
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704241302 Issued in MI
Practice address
202 E Van Riper Rd # 100
Fowlerville, MI 48836
Phone
(517) 223-7900
NPI assigned
Apr 2, 2018
Last updated
May 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704241302 MI
Adult Health Nurse Practitioner 363LA2200X 4704241302 MI
Nurse Practitioner 363L00000X 4704241302 MI Primary

Addresses

Primary practice location

202 E Van Riper Rd # 100
Fowlerville, MI 48836

Mailing address

202 E Van Riper Rd # 100
Fowlerville, MI 48836-7947
Phone (517) 223-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20181116001972 MI Order and Referring Only - Nurse Practitioner 3870841034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704241302MIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1740786540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E VAN RIPER RD # 100",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488367947",
            "telephone_number": "517-223-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E VAN RIPER RD # 100",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "48836",
            "telephone_number": "517-223-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "MARNIE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704241302",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704241302",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704241302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fowlerville, MI

Sources for this page

Verify at the official NPI Registry.