Individual provider Active NPI

Nicole Schmidt, APRN

  • Family Nurse Practitioner
  • Mayfield, KY
National Provider Identifier
1831796416
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014636 Issued in KY
Practice address
417 S 6TH St
Mayfield, KY 42066-2311
Phone
(270) 247-1104
Fax
(270) 251-4049
NPI assigned
Oct 6, 2020
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3014636 KY Primary
Primary Care Nurse Practitioner 363LP2300X 3014636 KY

Addresses

Primary practice location

417 S 6TH St
Mayfield, KY 42066-2311

Mailing address

417 S 6TH St
Mayfield, KY 42066-2311
Phone (270) 247-1104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20201117002915 KY Practitioner - Nurse Practitioner 4486065794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinelake Physician Practice LLCGroup PAC ID 6800797507, 45 clinicians

Practice addresses (Care Compare)

417 S 6TH St
Mayfield, KY 42066-2311
Phone (270) 247-1104

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3014636KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinelake Physician Practice, LLC Current Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Oct 1, 2020 Accepting new patients
Pinelake Physician Practice, LLC CurrentSince Jun 1, 2022 Accepting new patients
Pinelake Physician Practice, LLC CurrentSince Jun 1, 2022 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

1029 Medical Center Cir
Ste 202
Mayfield, KY 42066
Phone (270) 247-7795

1029 Medical Center Cir
Ste 401
Mayfield, KY 42066
Phone (270) 251-4590

417 S 6th St
Mayfield, KY 42066
Phone (270) 247-1104

901 N 12th St
Murray, KY 42071
Phone (270) 873-2022

Interoperability endpoints

  • Direct secure messaging: nicole.schmidt.1@19475.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1831796416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S 6TH ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662311",
            "telephone_number": "270-247-1104",
            "fax_number": "270-247-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S 6TH ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662311",
            "telephone_number": "270-247-1104",
            "fax_number": "270-251-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014636",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3014636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

Verify at the official NPI Registry.