NPIMap

Individual provider Active NPI

Petie Ann Schwerdtfeger, M.D.

  • Family Medicine Physician
  • Anthony, KS
National Provider Identifier
1811980402
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21712 Issued in OK
Practice address
485 N KS Hwy 2
Anthony, KS 67003-2526
Phone
(620) 914-1200
Fax
(620) 914-1257
NPI assigned
Aug 30, 2005
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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 21712 OK Primary

Addresses

Primary practice location

485 N KS Hwy 2
Anthony, KS 67003-2526

Mailing address

485 N KS Hwy 2
Anthony, KS 67003-2526
Phone (620) 914-1200

Other names 1

  • Dr. Petie Ann Hyde Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pschwerdtfegerphc@pahc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040316000571 TX Practitioner - Family Practice 0244120129 Reassigns benefits to 3 organizations
I20140118000325 KS Practitioner - Family Practice 0244120129

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinton Indian Health CenterGroup PAC ID 2163324237, 74 clinicians

Practice addresses (Care Compare)

10321 N
Suite 2274
Clinton, OK 73601-7521

10321 N 2274 Rd
Clinton, OK 73601-7521
Phone (580) 331-3410

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Indian Health Center CurrentSince Feb 3, 2023 Accepting new patients
El Reno Indian Health Center CurrentSince Feb 3, 2023 Accepting new patients
Watonga Indian Health Center CurrentSince Feb 3, 2023 Accepting new patients
Cherokee Nation Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Norton County Hospital Past Accepting new patients
Kay County Clinic Company LLC Family Medicine Past Accepting new patients
Northeastern State University College of Optometry Past Accepting new patients
Tracey W. Childers, D.O. P.C. Past Accepting new patients

Locations

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

1305 S Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-4991

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/47504f24-8f33-46ef-bd43-36455bc94e0b/
  • Direct secure messaging: pschwerdtfeger636975@direct.kuha.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 7

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1811980402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 N KS HWY 2",
            "city": "ANTHONY",
            "state": "KS",
            "postal_code": "670032526",
            "telephone_number": "620-914-1200",
            "fax_number": "620-914-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 N KS HWY 2",
            "city": "ANTHONY",
            "state": "KS",
            "postal_code": "670032526",
            "telephone_number": "620-914-1200",
            "fax_number": "620-914-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWERDTFEGER",
        "first_name": "PETIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "21712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pschwerdtfegerphc@pahc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Patterson Health Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "485 N Ks Hwy 2",
            "city": "Anthony",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670032526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PETIE",
            "last_name": "HYDE",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anthony, KS

Sources for this page

Verify at the official NPI Registry.