Individual provider Active NPI

Roberta Jean Dischinger-Smedes, MSN, APRN, BC, FNP

  • Family Nurse Practitioner
  • Holland, MI
National Provider Identifier
1750578407
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704180107 Issued in MI
Practice address
285 James St
Intercare Community Health Network
Holland, MI 49424-1849
Phone
(616) 218-3008
Fax
(606) 399-5055
NPI assigned
Sep 26, 2007
Last updated
Jan 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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 4704180107 MI Primary

Addresses

Primary practice location

285 James St
Intercare Community Health Network
Holland, MI 49424-1849

Mailing address

50 Industrial Park Rd
Bangor, MI 49013-1246
Phone (269) 427-7937

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
I20110913000104 MI Practitioner - Nurse Practitioner 9537330196 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intercare Community Health Network CurrentSince Jul 11, 2011 Accepting new patients
Intercare Community Health Network CurrentSince Jul 11, 2011 Accepting new patients

Locations

308 Charles St
Bangor, MI 49013
Phone (269) 427-7967

50 Industrial Park Rd
Bangor, MI 49013
Phone (269) 427-7937

800 M 139
Benton Harbor, MI 49022
Phone (269) 927-5400

870 Colfax Ave
Benton Harbor, MI 49022
Phone (269) 605-1277

285 James St
Holland, MI 49424
Phone (616) 399-0200

538 Washington St
Otsego, MI 49078
Phone (269) 694-7873

5498 109th Ave
Pullman, MI 49450
Phone (269) 236-5021

Interoperability endpoints

  • Direct secure messaging: roberta.dischinger.smedes.1@31044.direct.athenahealth.com
  • Direct secure messaging: roberta.dischingersmedes@ichn.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1750578407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 INDUSTRIAL PARK RD",
            "city": "BANGOR",
            "state": "MI",
            "postal_code": "490131246",
            "telephone_number": "269-427-7937",
            "fax_number": "269-427-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 JAMES ST",
            "address_2": "INTERCARE COMMUNITY HEALTH NETWORK",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241849",
            "telephone_number": "616-218-3008",
            "fax_number": "606-399-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISCHINGER-SMEDES",
        "first_name": "ROBERTA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704180107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.