Individual provider Active NPI

Michael Schepemaker, FNP

  • Family Nurse Practitioner
  • Columbia, MS
National Provider Identifier
1952993743
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904470 Issued in MS
Practice address
407 Sumrall Rd Ste 1
Columbia, MS 39429-9550
Phone
(601) 345-5424
Fax
(601) 519-0772
NPI assigned
Feb 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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 904470 MS Primary

Addresses

Primary practice location

407 Sumrall Rd Ste 1
Columbia, MS 39429-9550

Mailing address

407 Sumrall Rd Ste 1
Columbia, MS 39429-9550
Phone (601) 345-5424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20210407002058 MS Practitioner - Nurse Practitioner 1850708983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

407 Sumrall Rd
Columbia, MS 39429-9550
Phone (601) 520-1807

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Med360 LLC CurrentSince Jun 15, 2023 Accepting new patients
Pioneer Health Care , LLC CurrentSince Mar 1, 2021 Accepting new patients
Conx Care Corporation Past Accepting new patients

Locations

4297 Hwy 42
Bassfield, MS 39421
Phone (601) 943-5060

407 Sumrall Rd
Columbia, MS 39429
Phone (601) 345-5424

407 Sumrall Rd
#1
Columbia, MS 39429
Phone (601) 345-5424

15 Keystone Dr
Ste E
Hattiesburg, MS 39402
Phone (601) 606-6326

300 Cahal St
Hattiesburg, MS 39401
Phone (601) 582-9157

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IADBED/Endpoint/IADBED

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 1

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": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1952993743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SUMRALL RD STE 1",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394299550",
            "telephone_number": "601-345-5424",
            "fax_number": "601-519-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 SUMRALL RD STE 1",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394299550",
            "telephone_number": "601-345-5424",
            "fax_number": "601-519-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEPEMAKER",
        "first_name": "MICHAEL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-03",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MS

Sources for this page

Verify at the official NPI Registry.