Individual provider Active NPI

Derae Audra Schroeder, DNP, ARNP

  • Family Nurse Practitioner
  • Mapleton, IA
National Provider Identifier
1922347186
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0712790 Issued in IA
Practice address
513 S Muckey St
Mapleton, IA 51034-1055
Phone
(712) 882-2234
NPI assigned
Feb 7, 2013
Last updated
Dec 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0712790 IA Primary

Addresses

Primary practice location

513 S Muckey St
Mapleton, IA 51034-1055

Mailing address

501 Melrose St
P.O. Box 432
Wall Lake, IA 51466-7598
Phone (712) 880-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20170602001083 IA Practitioner - Nurse Practitioner 6901105576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
St Anthony Regional Hospital and Nursing HomeGroup PAC ID 4688586829, shared by 8 NPIs, 49 clinicians
Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians

Practice addresses (Care Compare)

1820 Hwy 30 E
Denison, IA 51442-2101
Phone (712) 263-6166

311 S Clark St
Carroll, IA 51401-3038
Phone (712) 792-3581

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724

405 S Clark St
Suite 100
Carroll, IA 51401-3047
Phone (712) 792-2222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
69.74
Promoting interoperability
83
Improvement activities
40
Cost
69.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F0712790IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthony Regional Hospital and Nursing Home Current Accepting new patients
St Anthony Regional Hospital and Nursing Home CurrentSince Apr 26, 2017 Accepting new patients
St Anthony Regional Hospital and Nursing Home Past Accepting new patients

Locations

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

405 S Clark St
Ste 100
Carroll, IA 51401
Phone (712) 792-1500

215 Main St
Coon Rapids, IA 50058
Phone (712) 999-2237

1820 4th Ave S
Denison, IA 51442
Phone (712) 263-6116

Interoperability endpoints

  • Direct secure messaging: daschroeder@cynchealthdsm.org
  • Direct secure messaging: daschroeder@direct.sarh.kobledirect.com
  • Direct secure messaging: deraeschroeder@bhcc.allscriptsdirect.net

Organizations & group practices 4

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1922347186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MELROSE ST",
            "address_2": "P.O. BOX 432",
            "city": "WALL LAKE",
            "state": "IA",
            "postal_code": "514667598",
            "telephone_number": "712-880-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 S MUCKEY ST",
            "city": "MAPLETON",
            "state": "IA",
            "postal_code": "510341055",
            "telephone_number": "712-882-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "DERAE",
        "middle_name": "AUDRA",
        "credential": "DNP, ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "F0712790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mapleton, IA

Sources for this page

Verify at the official NPI Registry.