JESSICA SICKLER SCHMIDT PMHNP
NPI 1205181005
Nurse Practitioner - Psychiatric/Mental Health in Santa Rosa, CA
About Jessica Sickler Schmidt Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA SICKLER SCHMIDT PMHNP (NPI 1205181005) is an individual psychiatric/mental health provider in Santa Rosa, California, licensed in California (95015086) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Rafael, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica Sickler Schmidt Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Schmidt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Rosa, CA 95401
- Reassigned Medicare billing, California enrollment
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
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 Jessica Schmidt's NPI number?
The NPI number for Jessica Schmidt is 1205181005. It was assigned to this individual provider in the NPPES registry on July 17, 2012.
Where is Jessica Schmidt located?
Jessica Schmidt practices at 480 Tesconi Cir Ste B, Santa Rosa, CA 95401. The listed phone number is (707) 206-7268.
What is Jessica Schmidt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jessica Schmidt enrolled in Medicare?
Yes. Jessica Schmidt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jessica Schmidt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Schmidt reassigns Medicare benefits to Siyan Clinical Corporation (Santa Rosa, CA). The 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 Jessica Schmidt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Schmidt was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jessica Sickler Schmidt, PMHNP · NPI 1205181005
Psychiatric/Mental Health physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since July 17, 2012.
## Identity
- **NPI:** 1205181005 (Entity type: Individual)
- **Enumerated:** July 17, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95015086 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 480 TESCONI CIR STE B, Santa Rosa, CA 95401-4691
- **Phone:** (707) 206-7268
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Siyan Clinical Corporation (NPI 1568732972, Santa Rosa, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** November 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1205181005) · Data from the CMS NPPES public registry.