Active NPI
Timothy J Schmitt, DNP
- Nurse Practitioner
- Chippewa Falls, WI
National Provider Identifier
1962991620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 8516-33
- Practice address
- 2509 County Highway I Ste 500
Chippewa Falls, WI 54729-2786 - Phone
- (715) 723-9138
- NPI assigned
- May 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 139682-30 | WI | |
| Nurse Practitioner | 363L00000X | 8516-33 | WI | Primary |
Addresses
Primary practice location
2509 County Highway I Ste 500
Chippewa Falls, WI 54729-2786
Mailing address
2509 County Highway I Ste 500
Chippewa Falls, WI 54729-2786
Phone (715) 723-9138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139682-30 | Other | WI | WISCONSIN RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139682-30 | WI | MD | General Practice Registered Nurse |
| 8516-33 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prevea Clinic, Inc. | Past | Accepting new patients |
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.
-
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- Green Bay, WI
- NPI 1306869276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1962991620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 COUNTY HIGHWAY I STE 500",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547292786",
"telephone_number": "715-723-9138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 COUNTY HIGHWAY I STE 500",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547292786",
"telephone_number": "715-723-9138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMITT",
"first_name": "TIMOTHY",
"middle_name": "J",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-08",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "WI",
"license": "139682-30",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "8516-33",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN RN LICENSE",
"identifier": "139682-30",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.