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MRS. THERESA SCHMITZ P.A.
NPI 1205928579
Physician Assistant - Medical in Hidden Valley Lake, CA

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
96.04/100
CMS Quality Rating
18990 COYOTE VALLEY RD STE 10, HIDDEN VALLEY LAKE, CA 95467(707) 987-8344(707) 987-8395 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Theresa Schmitz P.a. NPPES

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

MRS. THERESA SCHMITZ P.A. (NPI 1205928579) is an individual medical provider in Hidden Valley Lake, California, licensed in California (PA14762) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1205928579
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. THERESA SCHMITZCredential: P.A.
Location Address18990 COYOTE VALLEY RD STE 10Hidden Valley Lake, CA 95467-8339
Mailing Address18990 Coyote Valley Rd Ste 10Hidden Valley Lake, CA 95467-8339 · (707) 987-8344 · Fax (707) 984-8395
Phone(707) 987-8344
Fax(707) 987-8395
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJanuary 27, 2016
✔ NPI 1205928579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA14762
18990 COYOTE VALLEY RD STE 10, Hidden Valley Lake, CA 95467
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Theresa Schmitz P.a. 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.

PECOS PAC ID4486897709
PECOS Enrollment IDI20130905000193
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
145 services118 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
75 services60 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
73 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.91
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SEAN THOMAS PARKER PA-C
Physician Assistant
18990 COYOTE VALLEY RD STE 10
HIDDEN VALLEY LAKE, CA 95467
Lake County (707) 987-8344
COREY WARNER M.D.
Internal Medicine
18990 COYOTE VALLEY RD STE 10
HIDDEN VALLEY LAKE, CA 95467
Lake County (707) 987-8344

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 Theresa Schmitz's NPI number?

The NPI number for Theresa Schmitz is 1205928579. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Theresa Schmitz located?

Theresa Schmitz practices at 18990 Coyote Valley Rd Ste 10, Hidden Valley Lake, CA 95467. The listed phone number is (707) 987-8344.

What is Theresa Schmitz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Theresa Schmitz enrolled in Medicare?

Yes. Theresa Schmitz 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.

When was this NPI record last updated?

The NPPES record for Theresa Schmitz was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.