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KAREN SCHMITZ
NPI 1356907778
Nurse Practitioner - Psychiatric/Mental Health in Manchester, IA

Active since May 10, 2019PECOS EnrolledAccepts Medicare Assignment
721 S 5TH ST, MANCHESTER, IA 52057(563) 927-6700 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Karen Schmitz NPPES

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

KAREN SCHMITZ (NPI 1356907778) is an individual psychiatric/mental health provider in Manchester, Iowa, licensed in Iowa (G154409) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356907778
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAREN SCHMITZ
Location Address721 S 5TH STManchester, IA 52057-2048
Mailing Address740 N 15th Ave Ste AHiawatha, IA 52233-2384 · (319) 398-3562
Phone(563) 927-6700
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 10, 2019
✔ NPI 1356907778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IA · G154409
721 S 5TH ST, Manchester, IA 52057
Open in Google Maps ↗

Other Identifiers 1

Medicaid0074575IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

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

Karen Schmitz 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 ID8921336819
PECOS Enrollment IDI20190830001473
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.

Medicare Billing Reassignment

Medicare enrollment records show Karen Schmitz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Delaware County Memorial Hospital
0.4 mi
Emergency Medical Services
709 W MAIN ST
Manchester, IA 52057
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1750354676 (Iowa)
  • 169 clinicians in this Medicare group
NPI 1326073669 (563) 927-3232

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

TINA RECKER LMSW
Social Worker
721 S 5TH ST
MANCHESTER, IA 52057
Delaware County (563) 927-6700
SARAH L PHELPS LMHC
Counselor (Mental Health)
721 S 5TH ST
MANCHESTER, IA 52057
Delaware County (563) 927-6700
MRS. HOPE MARIE GRUMAN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
721 S 5TH ST
MANCHESTER, IA 52057
Delaware County (563) 927-6703
RANDI BURNS LMHC
Counselor (Mental Health)
721 S 5TH ST
MANCHESTER, IA 52057
Delaware County (563) 927-6700
TAMARA KAY LAURITZEN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
721 S 5TH ST
MANCHESTER, IA 52057
Delaware County (563) 927-6700

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 Karen Schmitz's NPI number?

The NPI number for Karen Schmitz is 1356907778. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Where is Karen Schmitz located?

Karen Schmitz practices at 721 S 5th St, Manchester, IA 52057. The listed phone number is (563) 927-6700.

What is Karen Schmitz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Karen Schmitz enrolled in Medicare?

Yes. Karen 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.

Which organization bills Medicare for Karen Schmitz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Schmitz reassigns Medicare benefits to Delaware County Memorial Hospital (Manchester, IA). 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 Karen Schmitz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Schmitz accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Karen Schmitz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Schmitz was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.