NPIMap

Individual provider Active NPI

Kelly Suzanne Schmidt, MD

  • Neurological Surgery Physician
  • Kalispell, MT
National Provider Identifier
1811199235
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
54809 Issued in MT
Practice address
200 Commons Way Ste B
Kalispell, MT 59901-1915
Phone
(406) 752-5170
Fax
(406) 752-5210
NPI assigned
Jun 5, 2007
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 13123 NV
Pediatric Surgery Physician 2086S0120X 54809 MT
Neurological Surgery Physician 207T00000X 54809 MT Primary

Addresses

Primary practice location

200 Commons Way Ste B
Kalispell, MT 59901-1915

Mailing address

200 Commons Way Ste B
Kalispell, MT 59901-1915
Phone (406) 752-5170

Other identifiers 3

IdentifierTypeStateIssuer
207T0000XMedicaidNV
13123NVOtherNVBLUE CROSS BLUE SHIELD
449672MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Kalispell Regional Medical Center Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170612002469 MT Practitioner - NeurosurgeryPractitioner - Pediatric Medicine 8628123312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurosurgeryAlso: Pediatric Medicine
Education
George Washington University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

200 Commons Way
Suite B
Kalispell, MT 59901-1915
Phone (406) 752-5170

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54809MTMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kalispell Regional Medical Center, Inc CurrentSince Jul 31, 2017 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Glacier Regional Pathology, LTD. Current Accepting new patients
Kalispell Regional Medical Center Inc CurrentSince Jul 31, 2017 Accepting new patients
Agata-Venger Partnership Neurological Surgery Past Accepting new patients
Kalispell Regional Medical Center, Inc Past Accepting new patients
Billings Clinic Past Accepting new patients
Duke Neurosurgical Past Accepting new patients

Locations

3905 Wellness Way
Bozeman, MT 59718
Phone (406) 898-1200

121 N Last Chance Gulch
Ste 2
Helena, MT 59601

200 Commons Way
Ste B
Kalispell, MT 59901
Phone (406) 752-5170

202 Conway Dr
Ste 200
Kalispell, MT 59901
Phone (406) 752-8433

310 Sunnyview Ln
Ofc Of
Kalispell, MT 59901
Phone (406) 758-7036

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

Interoperability endpoints

  • Direct secure messaging: kelly.schmidt@hca3.eclinicaldirectplus.com
  • Direct secure messaging: krmcmedicalrecords@krhdirect.org

Organizations & group practices 9

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 9

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1811199235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COMMONS WAY STE B",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011915",
            "telephone_number": "406-752-5170",
            "fax_number": "406-752-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COMMONS WAY STE B",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011915",
            "telephone_number": "406-752-5170",
            "fax_number": "406-752-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KELLY",
        "middle_name": "SUZANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NV",
            "license": "13123",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MT",
            "license": "54809",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MT",
            "license": "54809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207T0000X",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "13123NV",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449672",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "200 Commons Way Ste B",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599011915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.