Tim Robert Schuijt

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

70145 Issued in ID

Practice address

765 S Utah Ave # 5093
Idaho Falls, ID 83402-5093

Phone

(208) 525-2600

NPI assigned

Oct 28, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Santibanez Pac IdahoGroup PAC ID 2961846209, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Santibanez Pac Idaho

  • Geriatric Medicine (Internal Medicine) Physician
  • Idaho Falls, ID
  • NPI 1346015948
  Medicare reassignment Care Compare group NPD
• CC Pocatello LLC

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1538517156
  Medicare reassignment NPD
• Community Care West Side LLC

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1295009785
  Medicare reassignment NPD
• Finding Home Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Eagle, ID
  • NPI 1609327022
  Medicare reassignment NPD
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Medicare reassignment NPD
• Optimum Health, PLLC

  • Emergency Medicine Physician
  • Pocatello, ID
  • NPI 1306401575
  Medicare reassignment NPD
• Community Care

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1790708832
  NPD
• Community Care Pocatello PLLC

  • Urgent Care Clinic/Center
  • Pocatello, ID
  • NPI 1265714760
  NPD
• Finding Home Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Salt Lake City, UT
  • NPI 1851826192
  NPD
• PPM Wyoming LLC

  • Multi-Specialty Clinic/Center
  • Afton, WY
  • NPI 1366289290
  NPD

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1801550553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 S UTAH AVE # 5093",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025093",
            "telephone_number": "208-525-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 S UTAH AVE # 5093",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025093",
            "telephone_number": "208-525-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUIJT",
        "first_name": "TIM",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "70145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scottie Lin Schmalz-Hope, PT
• Meta L Schmitz, CCM, CFRP
• James F Schmutz, MD
• Lyndsay Scholes
• Kayla Schroeder, M.S.
• John Andrew Schulkins V, BS, IS
• Scott M. Blake, DDS, PC
• Alisha Scott, PA-C
• Jared Stephan Scott, DC
• John Patrick Scott

• Family Nurse Practitioner in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.