Individual provider Active NPI

Taylor Elizabeth Schroeder, DNP

  • Nurse Practitioner
  • Kimball, NE
National Provider Identifier
1770187098
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
46608 Issued in WY
Practice address
505 S Burg St
Kimball, NE 69145-1313
Phone
(308) 235-1951
NPI assigned
Nov 27, 2020
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 113412 NE
Nurse Practitioner 363L00000X 46608 WY Primary

Addresses

Primary practice location

505 S Burg St
Kimball, NE 69145-1313

Mailing address

3923 McComb Ave
Cheyenne, WY 82001-1012
Phone (307) 575-3515

Other practice location 1

214 E 23rd St
Cheyenne, WY 82001-3748
Phone (307) 633-7670

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tlenz@kimballhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210121002894 NE Practitioner - Nurse Practitioner 0648684258 Reassigns benefits to 2 organizations
I20210713003487 WY Practitioner - Nurse Practitioner 0648684258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Hospitalist Group LLCGroup PAC ID 8527445824, 47 clinicians
Kimball County HospitalGroup PAC ID 5799751004, shared by 4 NPIs, 19 clinicians

Practice addresses (Care Compare)

214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (307) 324-2221

255 W 4TH St
Kimball, NE 69145-1706
Phone (308) 235-1951

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.47 of 100Reported as group
Quality
53.04
Promoting interoperability
81
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
113412NEMDNurse Practitioner
46608WYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivinson Memorial Hospital CurrentSince Jul 21, 2021 Accepting new patients
Kimball County Hospital CurrentSince Jan 13, 2026 Accepting new patients
Kimball County Hospital CurrentSince Jun 10, 2021 Accepting new patients
Summit Hospitalist Group LLC CurrentSince May 12, 2025 Accepting new patients
Ivinson Memorial Hospital CurrentSince Jul 21, 2021 Accepting new patients
Summit Medical Group, LLC CurrentSince Jun 1, 2021 Accepting new patients
Kimball County Hospital CurrentSince Jun 10, 2021 Accepting new patients

Locations

255 W 4th St
Kimball, NE 69145
Phone (308) 235-1951

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

Interoperability endpoints

  • Direct secure messaging: tlenz@kimballhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1770187098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 MCCOMB AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011012",
            "telephone_number": "307-575-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S BURG ST",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "691451313",
            "telephone_number": "308-235-1951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 E 23rd St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820013748",
            "country_code": "US",
            "telephone_number": "307-633-7670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113412",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "46608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tlenz@kimballhealth.org",
            "affiliation": "N",
            "address_1": "505 S Burg St",
            "city": "Kimball",
            "state": "NE",
            "country_code": "US",
            "postal_code": "691451313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kimball, NE

Sources for this page

Verify at the official NPI Registry.