Individual provider Active NPI

Mary K Schmidt, FNP

  • Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1811129273
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R 085066-1 Issued in MN
Practice address
360 Sherman St.
Suite 250
St Paul, MN 55102
Phone
(651) 772-6251
Fax
(651) 224-9661
NPI assigned
Aug 19, 2009
Last updated
Mar 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R 085066-1 MN Primary

Addresses

Primary practice location

360 Sherman St.
Suite 250
St Paul, MN 55102

Mailing address

360 Sherman St.
Suite 250
St Paul, MN 55102
Phone (651) 772-6251

Other identifiers 1

IdentifierTypeStateIssuer
1811129273MedicaidMN

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100119000787 MN Practitioner - Nurse Practitioner 8921140682 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3275MNMDAthletic Trainer
R 085066-1MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Express Care Current Accepting new patients
Associated Nephrology Consultants, P.a. CurrentSince Aug 1, 2010 Accepting new patients
Fairview Express Care CurrentSince May 28, 2021 Accepting new patients
Fairview Bethesda Hospital CurrentSince May 28, 2021 Accepting new patients
Fairview Clinics Current Accepting new patients
Healtheast Woodwinds Hospital CurrentSince May 28, 2021 Accepting new patients
Fairview Clinics CurrentSince May 28, 2021 Accepting new patients
Healtheast St. John's Hospital CurrentSince May 28, 2021 Accepting new patients
Fairview Clinics CurrentSince May 28, 2021 Accepting new patients
Healtheast Medical Research Institute CurrentSince May 28, 2021 Accepting new patients
Healtheast Care System CurrentSince May 28, 2021 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services CurrentSince May 28, 2021 Accepting new patients
Fairview Clinics CurrentSince May 28, 2021 Accepting new patients
Fairview Express Care CurrentSince May 28, 2021 Accepting new patients

Locations

13819 Hanson Blvd NW
Andover, MN 55304
Phone (763) 572-5700

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

2945 Hazelwood St
Ste 110
Maplewood, MN 55109

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1997 Sloan Pl
Ste 17
Saint Paul, MN 55117
Phone (651) 772-6251

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

360 Sherman St
Ste 250
Saint Paul, MN 55102
Phone (651) 772-6251

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3y297hHso-SAgtaVMIScpv67gSH7SYy3/

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1811129273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SHERMAN ST.",
            "address_2": "SUITE 250",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-772-6251",
            "fax_number": "651-224-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SHERMAN ST.",
            "address_2": "SUITE 250",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-772-6251",
            "fax_number": "651-224-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-19",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R 085066-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811129273",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.