Individual provider Active NPI

Alisia M Schmidt, PA-C

  • Physician Assistant
  • Swansea, IL
National Provider Identifier
1902247950
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.004678 Issued in IL
Practice address
4 Park PL
Swansea, IL 62226-2965
Phone
(618) 277-7500
Fax
(618) 277-4236
NPI assigned
Jul 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.004678 IL Primary

Addresses

Primary practice location

4 Park PL
Swansea, IL 62226-2965

Mailing address

PO Box 419059
Saint Louis, MO 63141-9059
Phone (182) 777-5006

Other names 1

  • Alisia M Klostermann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20131204000099 IL Practitioner - Physician Assistant 8022244656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
English and McLaughlin, PCGroup PAC ID 7618350448, 10 clinicians

Practice addresses (Care Compare)

1167 Fortune Blvd
Shiloh, IL 62269-7377
Phone (618) 207-6900

4 Park PL
Swansea, IL 62226-2965
Phone (618) 277-7500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.004678ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Past Accepting new patients
Christian Hospital Physician Billing Services LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alisia.schmidt.p2@direct.essehealth.nextgenshare.com
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

Hospital & facility affiliations 2

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": "1373155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1902247950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419059",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631419059",
            "telephone_number": "182-777-5006",
            "fax_number": "618-277-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK PL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262965",
            "telephone_number": "618-277-7500",
            "fax_number": "618-277-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ALISIA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-07",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.004678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISIA",
            "last_name": "KLOSTERMANN",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.