Rose Jane Endrina Schoenwandt, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95024048 Issued in CA

Practice address

5730 Packard Ave Ste 500
Marysville, CA 95901-7119

Phone

(530) 749-3242

NPI assigned

Jan 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rose Jane Endrina Borja Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: rosejane.schoenwandt.p1@direct.peachtreehealth.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Marysville, CA
  • NPI 1003863622
  NPD

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1861108300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 PACKARD AVE STE 500",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959017119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 PACKARD AVE STE 500",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959017119",
            "telephone_number": "530-749-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENWANDT",
        "first_name": "ROSE JANE",
        "middle_name": "ENDRINA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95024048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE JANE",
            "last_name": "BORJA",
            "middle_name": "ENDRINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Babak Sanei Fard, M.D.
• Andrea Santos, RN
• Hannah Schelby, RADT-I
• Elizabeth Schlegel
• Mary Joan Schmierer, RN
• Ray C Schultz, M.D.
• Brooklynn Scott
• Grace Scott
• Zyra Scott
• Steven H Segerstrom, M.D

• Adult Health Nurse Practitioner in Marysville, CA
• Providers in Marysville, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.