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DANIELLE D SCHMACHTENBERGER PA
NPI 1538119177
Physician Assistant in Grand Rapids, MI

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
145 MICHIGAN ST NE, SUITE 3100, GRAND RAPIDS, MI 49503(616) 954-9800(616) 954-2116 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 17, 2020, Apr 27, 2018 (2 updates tracked since 2018).

About Danielle D Schmachtenberger Pa NPPES

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

DANIELLE D SCHMACHTENBERGER PA (NPI 1538119177) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601003012) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1538119177
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDANIELLE D SCHMACHTENBERGERCredential: PA
Location Address145 MICHIGAN ST NE, SUITE 3100Grand Rapids, MI 49503-2562
Mailing Address5800 Foremost Dr Se Ste 300Grand Rapids, MI 49546-7062 · (616) 954-9800
Phone(616) 954-9800
Fax(616) 954-2116
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 12, 2006
Last NPPES UpdateMarch 17, 20202 updates tracked since enumeration
NPPES CertifiedMarch 17, 2020
✔ NPI 1538119177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601003012
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
145 MICHIGAN ST NE, Grand Rapids, MI 49503
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Other Names 1

Former Name (1)Danielle D Duque P.a.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Danielle D Schmachtenberger Pa 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 ID6002857893
PECOS Enrollment IDI20050523000350
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 4

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 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.
46 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services28 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services11 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.75
Promoting Interoperability98
Improvement Activities40

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.

JAMES D THOMPSON MD
Otolaryngology
145 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7758
STEPHANIE F WILLIAMS MD
Internal Medicine (Medical Oncology)
145 MICHIGAN ST NE, SUITE 5200
GRAND RAPIDS, MI 49503
Kent County (616) 486-5933
KELLY ANN CONLEY NP
Nurse Practitioner (Women's Health)
145 MICHIGAN ST NE, SUITE 6300
GRAND RAPIDS, MI 49503
Kent County (616) 486-6000
DR. ROSS SCHULTHEISS PHARM.D.
Pharmacist
145 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 977-4840
AMELIA ROSE MROCH MS
Genetic Counselor, MS
145 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 486-6218
KRISTIN DIANE BROWN CNS
Registered Nurse (Oncology)
145 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 486-5700
DR. GORDON OLIVER DOWNEY M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
145 MICHIGAN ST NE, SUITE 6300
GRAND RAPIDS, MI 49503
Kent County (616) 486-6000
KIMBERLY ANN TEXLEY-QUIGG N.P.
Nurse Practitioner (Women's Health)
145 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 486-6333

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 Danielle Schmachtenberger's NPI number?

The NPI number for Danielle Schmachtenberger is 1538119177. It was assigned to this individual provider in the NPPES registry on May 12, 2006. The provider is also known as Danielle D Duque P.A..

Where is Danielle Schmachtenberger located?

Danielle Schmachtenberger practices at 145 Michigan St NE Suite 3100, Grand Rapids, MI 49503. The listed phone number is (616) 954-9800.

What is Danielle Schmachtenberger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Danielle Schmachtenberger enrolled in Medicare?

Yes. Danielle Schmachtenberger 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 Danielle Schmachtenberger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Danielle Schmachtenberger 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 Danielle Schmachtenberger affiliated with any hospitals?

According to CMS data, Danielle Schmachtenberger is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Danielle Schmachtenberger was last updated on March 17, 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.