Organization Active NPI

Schreier Family Medicine LLC

  • Family Medicine Physician
  • Excelsior Springs, MO
National Provider Identifier
1841586831
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2005027703 Issued in MO
Legal business name
SCHREIER FAMILY MEDICINE LLC
Practice address
1345 N Jesse James Rd
Excelsior Springs, MO 64024-1120
Phone
(816) 630-9411
Fax
(855) 642-2047
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Kathy M Welch
Title
Practice Manager
Phone
(816) 630-9411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2005027703 MO Primary

Addresses

Primary practice location

1345 N Jesse James Rd
Excelsior Springs, MO 64024-1120

Mailing address

1345 N Jesse James Rd Ste 1
Excelsior Springs, MO 64024-1120
Phone (816) 630-9411

Other identifiers 1

IdentifierTypeStateIssuer
1841586831MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110919000630 MO Part B Supplier - Clinic/Group Practice 5890966048 Receives reassigned benefits from 3 practitioners
Practice locations: Excelsior Springs, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2027655Schreier Family Medicine LLC1345 N Jesse James Rd, Excelsior Springs, MO 64024Provider-performed microscopyJul 27, 2027

National Provider Directory

National Provider Directory

Locations

1006 N Jesse James Rd
Ste 1
Excelsior Springs, MO 64024
Phone (816) 630-9411

1345 N Jesse James Rd
Ste 1
Excelsior Springs, MO 64024

1006 N Jesse James Rd
Ste A
Excelsior Springs, MO 64024
Phone (816) 630-9411

1410 Hospital Dr
Excelsior Springs, MO 64024
Phone (816) 630-1024

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAJHCA

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1841586831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 N JESSE JAMES RD STE 1",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241120",
            "telephone_number": "816-630-9411",
            "fax_number": "855-642-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 N JESSE JAMES RD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241120",
            "telephone_number": "816-630-9411",
            "fax_number": "855-642-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHREIER FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "816-630-9411"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2005027703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841586831",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.