Individual provider Active NPI

Kimberly Ann Schueler, FNP

  • Family Nurse Practitioner
  • Medford, OR
National Provider Identifier
1790169852
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002569 Issued in CA
Practice address
229 W Stewart Ave Ste 104
Medford, OR 97501-3663
Phone
(541) 488-1116
Fax
(541) 488-6409
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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 95002569 CA Primary

Addresses

Primary practice location

229 W Stewart Ave Ste 104
Medford, OR 97501-3663

Mailing address

229 W Stewart Ave Ste 104
Medford, OR 97501-3663
Phone (541) 488-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20241121000630 OR Practitioner - Nurse Practitioner 9739496134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Pacific Crest Integrative Medicine PCGroup PAC ID 0749679678, 2 clinicians

Practice addresses (Care Compare)

229 W Stewart Ave
Suite 104
Medford, OR 97501-3663
Phone (541) 488-1116

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Koa Clinic, Inc CurrentSince Jan 1, 2021 Accepting new patients
Pacific Crest Integrative Medicine PC CurrentSince Aug 17, 2024 Accepting new patients
Queens North Hawaii Community Hospital Past Accepting new patients

Locations

75-5995 Kuakini Hwy
Ste 445
Kailua Kona, HI 96740
Phone (808) 315-8466

75-5995 Kuakini Hwy
Ste 213
Kailua Kona, HI 96740
Phone (808) 365-2297

595 N Main St
Ste 2
Ashland, OR 97520
Phone (541) 488-1116

229 W Stewart Ave
Ste 104
Medford, OR 97501
Phone (541) 488-1116

Interoperability endpoints

  • Direct secure messaging: kimberly.ann.schueler@233545743663108.direct.elationemr.com

Organizations & group practices 3

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 2

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": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1790169852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W STEWART AVE STE 104",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013663",
            "telephone_number": "541-488-1116",
            "fax_number": "541-488-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W STEWART AVE STE 104",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013663",
            "telephone_number": "541-488-1116",
            "fax_number": "541-488-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUELER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.