Individual provider Active NPI

Debra R Schuelke, RN, MSN, FNP-BC

  • Family Nurse Practitioner
  • Middlebury, VT
National Provider Identifier
1831247212
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8237 Issued in TN
Practice address
30 Porter Dr
Middlebury, VT 05753-8422
Phone
(802) 388-4001
Fax
(802) 388-3474
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8237 TN Primary

Addresses

Primary practice location

30 Porter Dr
Middlebury, VT 05753-8422

Mailing address

30 Porter Dr
Middlebury, VT 05753-8422
Phone (802) 388-4001

Other identifiers 1

IdentifierTypeStateIssuer
3609696MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20220420000123 VT Practitioner - Nurse Practitioner 8820194277 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
8237TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Hospital, Inc CurrentSince Feb 1, 2022 Accepting new patients
Southern Medical Group PLLC Past Accepting new patients
Knoxville Pulmonary Group, P.a. Past Accepting new patients
Knoxville Internal Medicine PLLC Past Accepting new patients

Locations

61 Court Dr
Brandon, VT 05733
Phone (802) 247-3755

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

30 Porter Dr
Middlebury, VT 05753
Phone (802) 385-3722

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

Organizations & group practices 4

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1831247212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PORTER DR",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538422",
            "telephone_number": "802-388-4001",
            "fax_number": "802-388-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PORTER DR",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538422",
            "telephone_number": "802-388-4001",
            "fax_number": "802-388-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUELKE",
        "first_name": "DEBRA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-07-08",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "8237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3609696",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

Verify at the official NPI Registry.