Kelly L Schmidt, CNM, FNP is a medicare enrolled "Advanced Practice Midwife" in Saint Croix Falls, Wisconsin. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice St. Croix Regional Medical Center and her current practice location is
235 E State St, Saint Croix Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 483-3221.
Kelly L Schmidt is licensed to practice in Wisconsin (license number 103082) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669556288.
Provider's Profile
| Full Name | Kelly L Schmidt |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 27 Years |
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| Location | 235 E State St, Saint Croix Falls, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly L Schmidt graduated from nursing school in 1997
NPI Data:
- NPI Number: 1669556288
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 02/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961585559
- Enrollment ID: I20080205000454
Medical Identifiers
Medical identifiers for Kelly L Schmidt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669556288 | NPI | - | NPPES |
| 27G49SC | Other | MN | BCBS MN FACILITY |
| 07-00224 | Other | MN | MEDICA |
| HP21327 | Other | MN | HEALTHPARTNERS |
| NA9031012739 | Other | MN | PREFERRED ONE |
| 960519300 | Medicaid | MN | |
| 39965600 | Medicaid | WI | |
| 64Q39SC | Other | MN | BCBS MN PRO FEE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 103082 (Wisconsin) | Secondary |
| 367A00000X | Advanced Practice Midwife | 103082 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St. Croix Regional Medical Center | 9335032184 | 147 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly L Schmidt allows following entities to bill medicare on her behalf.
| Entity Name | St. Croix Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043240922
PECOS PAC ID: 9335032184
Enrollment ID: O20040205000217 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly L Schmidt is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly L Schmidt, CNM, FNP
235 E State St,
Saint Croix Falls, WI 54024-4117
Ph: (715) 483-3221 | Kelly L Schmidt, CNM, FNP
235 E State St,
Saint Croix Falls, WI 54024-4117
Ph: (715) 483-3221 |
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