COLLEEN SCHMIDT
NPI 1447675640
Nurse Practitioner - Family in Sioux Falls, SD

Active since February 25, 2014PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1309 W 17TH ST STE G01, SIOUX FALLS, SD 57104(605) 314-3400 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Colleen Schmidt NPPES

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

COLLEEN SCHMIDT (NPI 1447675640) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP000845) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1447675640
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOLLEEN SCHMIDT
Location Address1309 W 17TH ST STE G01Sioux Falls, SD 57104-4664
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 25, 2014
Last NPPES UpdateJuly 27, 2022
NPPES CertifiedJuly 27, 2022
NPI 1447675640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SD · CP000845
Also ListedNurse PractitionerTaxonomy 363L00000X · License CP000845 (SD)
1309 W 17TH ST STE G01, Sioux Falls, SD 57104

Accepted Insurance

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

Colleen Schmidt 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 ID2365675386
PECOS Enrollment IDI20140428002051
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
60 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

Radiology (Radiation Oncology)
1309 W 17TH ST STE G01
SIOUX FALLS, SD 57104
Physician Assistant
1309 W 17TH ST STE G01
SIOUX FALLS, SD 57104
Internal Medicine
1309 W 17TH ST STE G01
SIOUX FALLS, SD 57104
Family Medicine
1309 W 17TH ST STE G01
SIOUX FALLS, SD 57104
Radiology (Diagnostic Radiology)
1309 W 17TH ST STE G01
SIOUX FALLS, SD 57104

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 Colleen Schmidt's NPI number?

The NPI number for Colleen Schmidt is 1447675640. It was assigned to this individual provider in the NPPES registry on February 25, 2014.

Where is Colleen Schmidt located?

Colleen Schmidt practices at 1309 W 17th St Ste G01, Sioux Falls, SD 57104. The listed phone number is (605) 314-3400.

What is Colleen Schmidt's specialty?

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

Is Colleen Schmidt enrolled in Medicare?

Yes. Colleen 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.

What insurance does Colleen Schmidt accept?

Health plans from Avera Health Plans and Medica list Colleen Schmidt 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.

Is Colleen Schmidt affiliated with any hospitals?

According to CMS data, Colleen Schmidt is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Colleen Schmidt was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.