Active NPI
Caroline Emily Schroeder, AGNP-C
- Nurse Practitioner
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R41431
- Practice address
- 1200 S Columbia Rd- Altru Hospital
Grand Forks, ND 58201-4036 - Phone
- (701) 780-5000
- NPI assigned
- Jul 2, 2019
- Last updated
- Jun 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R41431 | ND | Primary |
Addresses
Primary practice location
1200 S Columbia Rd- Altru Hospital
Grand Forks, ND 58201-4036
Mailing address
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cwysocki64170@direct.directaltru.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R41431 | ND | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altru Health System | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Altru Health System | Past | Accepting new patients |
Locations
1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243
1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Interoperability endpoints
- cwysocki64170@direct.directaltru.org
Organizations & group practices 3
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.
-
dba Altru Clinic - East Grand Forks
- Clinic/Center
- East Grand Forks, MN
- NPI 1740621556
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
-
dba Heart of America Medical Center
- Critical Access Hospital
- Rugby, ND
- NPI 1437258969
-
- Critical Access Hospital
- Cavalier, ND
- NPI 1760542500
-
dba Towner County Medical Center
- Rural Acute Care Hospital
- Cando, ND
- NPI 1154352169
-
- Critical Access Hospital
- Roseau, MN
- NPI 1609861095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1891357596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 DEMERS AVE",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58201",
"telephone_number": "701-780-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S COLUMBIA RD- ALTRU HOSPITAL",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014036",
"telephone_number": "701-780-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "CAROLINE",
"middle_name": "EMILY",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-02",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ND",
"license": "R41431",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cwysocki64170@direct.directaltru.org",
"affiliation": "N",
"endpointDescription": "Direct mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1200 S Columbia Rd- Altru Hospital",
"city": "Grand Forks",
"state": "ND",
"country_code": "US",
"postal_code": "582014036",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.
- 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.