Individual provider Active NPI

Donna M Schippers, D.O.

  • Family Medicine Physician
  • Perry, FL
National Provider Identifier
1922043215
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0006255 Issued in FL
Practice address
616 S Jefferson St
Perry, FL 32347-4115
Phone
(850) 584-5876
Fax
(850) 584-4939
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0006255 FL Primary

Addresses

Primary practice location

616 S Jefferson St
Perry, FL 32347-4115

Mailing address

40520 County Highway 34
Ogema, MN 56569-9612
Phone (218) 983-4300

Other identifiers 2

IdentifierTypeStateIssuer
BL CROSS BL SHIELDOtherFLPROVIDER NUMBER
373646600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040820000182 FL Practitioner - Family PracticePractitioner - General Practice 8628042223 Reassigns benefits to 1 organization
I20041112000070 GA Practitioner - Family Practice 8628042223 Reassigns benefits to 1 organization
I20140324000175 TX Practitioner - Family Practice 8628042223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acv Community Services LLCGroup PAC ID 3476462078, 7 clinicians

Practice addresses (Care Compare)

10820 Marvin Jones Blvd
Live Oak, FL 32060-3714
Phone (386) 658-5450

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS0006255FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Oct 3, 2009 Accepting new patients
Acv Community Services LLC CurrentSince Apr 7, 2022 Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Pine Point Health Station Current Accepting new patients
Shands at Lake Shore Inc Past Accepting new patients

Locations

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

400 S Pinetree Blvd
Thomasville, GA 31792
Phone (229) 227-2990

40520 County Highway 34
Ogema, MN 56569
Phone (218) 983-4300

40520 County Highway 34
#C
Ogema, MN 56569
Phone (218) 983-4300

Interoperability endpoints

  • Direct secure messaging: donna.schippers.1@32057.direct.athenahealth.com

Organizations & group practices 6

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1922043215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40520 COUNTY HIGHWAY 34",
            "city": "OGEMA",
            "state": "MN",
            "postal_code": "565699612",
            "telephone_number": "218-983-4300",
            "fax_number": "218-983-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323474115",
            "telephone_number": "850-584-5876",
            "fax_number": "850-584-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIPPERS",
        "first_name": "DONNA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0006255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "BL CROSS BL SHIELD",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373646600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

Verify at the official NPI Registry.