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Kristin Marie Schmidt

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1301 W 38th St, Medical Park Tower Suite 514, Austin, TX 78705

PECOS Enrollment

This provider is enrolled in PECOS as KRISTIN SCHMIDT.

Based on the most recent information from CMS, provider Kristin Marie Schmidt is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1407190572
Provider Type
Individual
Full Name
Schmidt, Kristin Marie
Gender
Female

Sole Proprietor
No
Enumeration Date
11/15/2012
Last Updated
6/20/2018

Contact Information

Practice Location

1301 W 38th St, Medical Park Tower Suite 514, Austin, TX 78705

(512) 681-0500

(512) 681-0501

Mailing Location

1301 W 38th St Ste 400, Austin, TX 78705-1017

(512) 324-3440

(512) 406-6513

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP124094 Texas
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 22498 California
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 209.009780 Illinois

Provider Identifiers

ID	Description	Issuer
ID 8JN576	Description Other	Issuer BCBS ID Texas

Kristin Marie Schmidt

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Cannizzaro, Jennifer

Crilly, Chelsea

Ortiz, Kristen

Morgan, Carly R

Groszewski, Emily Scirica

Brown, Mary Warner

Harris, Janeka Marquetta

Winegar, Rhonda D

Whipple, Alizabethe

Anderson, Catherine Joyce