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REGENATIVE IV'S LLC
NPI 1013620590
Clinical Nurse Specialist - Holistic in Hutchinson, KS

Active since December 30, 2022
421 E 30TH AVE, HUTCHINSON, KS 67502(620) 663-2678(866) 557-4375 Get Directions Write a Review

NPPES record last updated: January 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Regenative Iv's Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGENATIVE IV'S LLC (NPI 1013620590), doing business as Schroeder Family Wellness Clinic, is a healthcare organization registered as a holistic in Hutchinson, Kansas and active in the NPI registry since December 2022. The organization lists Nicole Schroeder, Office Manager/rn, as its authorized official.

NPPES Registry Identity

NPI1013620590
Entity TypeOrganization
Primary Taxonomy364SH1100X
Legal Business NameREGENATIVE IV'S LLC
Location Address421 E 30TH AVEHutchinson, KS 67502-2412
Mailing Address421 E 30th AveHutchinson, KS 67502-2412 · (620) 663-2678 · Fax (866) 557-4375
Phone(620) 663-2678
Fax(866) 557-4375
Organization SubpartNo
Authorized OfficialNicole SchroederOffice Manager/rn · (620) 755-5080
Enumeration DateDecember 30, 2022
Last NPPES UpdateJanuary 1, 2023
NPPES CertifiedJanuary 1, 2023
✔ NPI 1013620590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · HolisticPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SH1100X
421 E 30TH AVE, Hutchinson, KS 67502
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Other Names 1

Doing Business AsSchroeder Family Wellness Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regenative Iv's Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Regenative Iv's LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Jasmine Douangpraseuth, APRN
Nurse Practitioner
NPI 1417566233
421 E 30TH AVE
Hutchinson, KS 67502
(620) 500-5998
✔ PECOS0.9 mi
Denette Lamb, APRN
Nurse Practitioner
NPI 1336404524
2101 N WALDRON ST
Hutchinson, KS 67502
(620) 669-2500
✔ PECOS✔ Accepts Medicare2.5 mi
Valentina Hain, APRN
Nurse Practitioner
NPI 1528602414
4723 E DOUGLAS AVE
Wichita, KS 67218
(316) 670-3800
✔ PECOS✔ Accepts Medicare45 mi
Kaitlyn Short, APRN
Nurse Practitioner
NPI 1376270918
1701 E MADISON AVE
Derby, KS 67037
(316) 358-9780
✔ PECOS53 mi
Jessica Miller, APRN
Nurse Practitioner
NPI 1508464306
1100 NW SOUTH OUTER RD STE 200
Blue Springs, MO 64015
(888) 256-3814
✔ PECOS✔ Accepts Medicare209 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regenative Iv's LLC's NPI number?

The NPI number for Regenative Iv's LLC is 1013620590. It was assigned to this organization in the NPPES registry on December 30, 2022. The provider is doing business as Schroeder Family Wellness Clinic.

Where is Regenative Iv's LLC located?

Regenative Iv's LLC is located at 421 E 30th Ave, Hutchinson, KS 67502. The listed phone number is (620) 663-2678.

What is Regenative Iv's LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Holistic, with taxonomy code 364SH1100X.

Is Regenative Iv's LLC enrolled in Medicare?

Yes. Regenative Iv's LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regenative Iv's LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Regenative Iv's LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Regenative Iv's LLC was last updated on January 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.