Individual provider Active NPI

Annette Carol Schmit-Cline, M.D.

  • Family Medicine Physician
  • Montevideo, MN
National Provider Identifier
1790753911
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39870 Issued in MN
Practice address
804 N 16TH St
Montevideo, MN 56265-3064
Phone
(844) 670-2273
Fax
(833) 471-4119
NPI assigned
Mar 14, 2006
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39870 MN Primary

Addresses

Primary practice location

804 N 16TH St
Montevideo, MN 56265-3064

Mailing address

804 N 16TH St
Montevideo, MN 56265-3064
Phone (844) 670-2273

Other identifiers 1

IdentifierTypeStateIssuer
226221500MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000399 MN Practitioner - Family Practice 9537243126 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lake View Memorial Hospital, Inc CurrentSince May 1, 2023 Accepting new patients
Homeward Physicians , PLLC CurrentSince Sep 30, 2023 Accepting new patients
Lake View Memorial Hospital, Inc. CurrentSince May 1, 2023 Accepting new patients
Sibley Medical Center Past Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

825 Nicollet Mall
Ste 556
Minneapolis, MN 55402
Phone (612) 513-3433

325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26566/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1790753911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N 16TH ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562653064",
            "telephone_number": "844-670-2273",
            "fax_number": "833-471-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N 16TH ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562653064",
            "telephone_number": "844-670-2273",
            "fax_number": "833-471-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIT-CLINE",
        "first_name": "ANNETTE",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "39870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226221500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montevideo, MN

Sources for this page

Verify at the official NPI Registry.