Individual provider Active NPI

Thomas Richard Schaefer, NP

  • Adult Health Nurse Practitioner
  • Fenton, MI
National Provider Identifier
1902327869
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704301351 Issued in MI
Practice address
700 N Leroy St
Fenton, MI 48430-2738
Phone
(810) 853-5875
Fax
(586) 279-4515
NPI assigned
Jun 30, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704301351 MI Primary

Addresses

Primary practice location

700 N Leroy St
Fenton, MI 48430-2738

Mailing address

700 N Leroy St
Fenton, MI 48430-2738
Phone (810) 853-5875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170831001767 MI Practitioner - Nurse Practitioner 6406129139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93 of 100Reported as group
Quality
100
Improvement activities
40
Cost
60

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical House Calls, PLC CurrentSince Aug 1, 2017 Accepting new patients
Hampton Psychological Services PLLC PastSince May 1, 2021 Accepting new patients

Locations

14165 N Fenton Rd
Ste 201A
Fenton, MI 48430
Phone (810) 853-5875

700 N Leroy St
Fenton, MI 48430
Phone (810) 853-5875

8359 Office Park Dr
Grand Blanc, MI 48439
Phone (877) 347-7978

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1902327869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302738",
            "telephone_number": "810-853-5875",
            "fax_number": "586-279-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302738",
            "telephone_number": "810-853-5875",
            "fax_number": "586-279-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "THOMAS",
        "middle_name": "RICHARD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704301351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.