Active NPI
Nicole Ann Schmidt, R-PAC
- Surgical Physician Assistant
- Williamsville, NY
National Provider Identifier
1780626879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 010347
- Practice address
- 18 Limestone Drive
Suite 5
Williamsville, NY 14221 - Phone
- (716) 632-1400
- Fax
- (716) 632-5316
- NPI assigned
- Jun 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 010347 | NY | Primary |
Addresses
Primary practice location
18 Limestone Drive
Suite 5
Williamsville, NY 14221
Mailing address
18 Limestone Drive
Suite 5
Williamsville, NY 14221
Phone (716) 632-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00840455 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010347 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1780626879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 LIMESTONE DRIVE",
"address_2": "SUITE 5",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "14221",
"telephone_number": "716-632-1400",
"fax_number": "716-632-5316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 LIMESTONE DRIVE",
"address_2": "SUITE 5",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "14221",
"telephone_number": "716-632-1400",
"fax_number": "716-632-5316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "NICOLE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "R-PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "010347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00840455",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.