KALLIE SCHROEDER
NPI 1447118674
Nurse Practitioner - Family in Russellville, MO

Active since January 15, 2026PECOS EnrolledAccepts Medicare Assignment
10719 W ALEXANDER RD, RUSSELLVILLE, MO 65074(573) 418-5980 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 16, 2026, Jan 15, 2026 (2 updates tracked since 2026).

About Kallie Schroeder NPPES

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

KALLIE SCHROEDER (NPI 1447118674) is an individual family provider in Russellville, Missouri, licensed in Missouri (2026001550) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital Jefferson City, and maintains a secondary practice location in Jefferson City.

NPPES Registry Identity

NPI1447118674
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKALLIE SCHROEDER
Location Address10719 W ALEXANDER RDRussellville, MO 65074-2711
Mailing Address10719 W Alexander RdRussellville, MO 65074-2711
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 15, 2026
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
NPI 1447118674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2026001550
10719 W ALEXANDER RD, Russellville, MO 65074

Secondary Practice Location 1

Location 12505 Mission DrJefferson City, MO 65109-9508 · Phone (573) 681-3000

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

Kallie Schroeder 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 ID6800361130
PECOS Enrollment IDI20260406000156
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital Jefferson City

Acute Care Hospitals · Jefferson City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260011
Location2505 Mission DriveJefferson City, MO 65109 · Cole County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65074 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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 Kallie Schroeder's NPI number?

The NPI number for Kallie Schroeder is 1447118674. It was assigned to this individual provider in the NPPES registry on January 15, 2026.

Where is Kallie Schroeder located?

Kallie Schroeder practices at 10719 W Alexander Rd, Russellville, MO 65074. The listed phone number is (573) 418-5980.

What is Kallie Schroeder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kallie Schroeder enrolled in Medicare?

Yes. Kallie Schroeder 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.

Is Kallie Schroeder affiliated with any hospitals?

According to CMS data, Kallie Schroeder is affiliated with Ssm Health St Mary's Hospital Jefferson City.

When was this NPI record last updated?

The NPPES record for Kallie Schroeder was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.