Individual provider Active NPI

Adam Charles Schmid, N.P.

  • Nurse Practitioner
  • Wyandotte, MI
National Provider Identifier
1922436229
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704244894 Issued in MI
Practice address
1500 Eureka Rd
Wyandotte, MI 48192-6103
Phone
(734) 282-7360
Fax
(734) 282-6440
NPI assigned
Oct 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704244894 MI Primary

Addresses

Primary practice location

1500 Eureka Rd
Wyandotte, MI 48192-6103

Mailing address

1500 Eureka Rd
Wyandotte, MI 48192-6103
Phone (734) 282-7360

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
I20140310001057 MI Practitioner - Nurse Practitioner 5799915997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Michigan PCGroup PAC ID 0941511224, 40 clinicians

Practice addresses (Care Compare)

13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone (586) 759-5525

1500 Eureka Rd
Wyandotte, MI 48192-6103
Phone (734) 282-2500

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
81.43
Promoting interoperability
82
Improvement activities
40
Cost
80.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704244894MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Michigan PC CurrentSince May 4, 2015 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

42505 Woodward Ave
Ste 200
Bloomfield Hills, MI 48304
Phone (248) 353-0818

36700 Woodward Ave
Ste 203
Bloomfield Hills, MI 48304
Phone (248) 519-2959

4170 Cedar Bluff Dr
Petoskey, MI 49770

13717 23 Mile Rd
Shelby Township, MI 48315
Phone (586) 580-9417

15400 Trenton Rd
Southgate, MI 48195
Phone (248) 569-8400

13450 E 12 Mile Rd
Ste 2
Warren, MI 48088

13450 E 12 Mile Rd
Warren, MI 48088
Phone (586) 759-5525

1500 Eureka Rd
Wyandotte, MI 48192
Phone (734) 282-2500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1922436229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 EUREKA RD",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926103",
            "telephone_number": "734-282-7360",
            "fax_number": "734-282-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EUREKA RD",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926103",
            "telephone_number": "734-282-7360",
            "fax_number": "734-282-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMID",
        "first_name": "ADAM",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704244894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.