MARY MELISSA SCHMIDT D.O.
NPI 1578824710
Family Medicine in Jacksonville, FL

Active since June 05, 2012PECOS Enrolled
3924 ORTEGA BLVD, JACKSONVILLE, FL 32210(215) 756-5114 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 9, 2023, Sep 24, 2019 (2 updates tracked since 2019).

About Mary Melissa Schmidt D.o. NPPES

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

MARY MELISSA SCHMIDT D.O. (NPI 1578824710) is an individual family medicine provider in Jacksonville, Florida, licensed in Wisconsin (61783) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578824710
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY MELISSA SCHMIDTCredential: D.O.
Location Address3924 ORTEGA BLVDJacksonville, FL 32210-4418
Mailing Address3924 Ortega BlvdJacksonville, FL 32210-4418 · (904) 708-3197
Sole ProprietorYes
Enumeration DateJune 5, 2012
Last NPPES UpdateDecember 20, 20232 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
✔ NPI 1578824710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 61783
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3924 ORTEGA BLVD, Jacksonville, FL 32210

Secondary Practice Locations 2

Location 11300 Roanoke Ave, Graduate Medical Education Dept.Riverhead, NY 11901-2031 · Phone (904) 708-3197
Location 21001 Service RdKiel, WI 53042-1297 · Phone (920) 894-2636

Other Identifiers 1

Medicaid100080754WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Melissa Schmidt D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

6

Medicare enrollment records show Mary Schmidt reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky and Maine enrollments
  • 390 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Tennessee enrollment
  • 528 clinicians in this Medicare group
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 clinicians in this Medicare group
General Acute Care Hospital
15 HOSPITAL DR
York, ME 03909
  • Reassigned Medicare billing, Maine enrollment
  • 347 clinicians in this Medicare group
Internal Medicine
415 6TH STREET, PHYSICIAN SERVICES
Lewiston, ID 83501
  • Reassigned Medicare billing, Idaho enrollment
  • 164 clinicians in this Medicare group

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

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 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.
107 services77 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.
29 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32210 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers13 claims16 services$4.53 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers20 claims20 services$5.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mary Schmidt's NPI number?

The NPI number for Mary Schmidt is 1578824710. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Mary Schmidt located?

Mary Schmidt practices at 3924 Ortega Blvd, Jacksonville, FL 32210. The listed phone number is (215) 756-5114.

What is Mary Schmidt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Schmidt enrolled in Medicare?

Yes. Mary Schmidt is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Schmidt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Schmidt reassigns Medicare benefits to 6 organizations: Brookview Medical Associates, PLLC (Bohemia, NY), Signify Health, LLC (Dallas, TX), Signify Health Medical Associates, PLLC (Dallas, TX), Mercy Health System Corporation (Janesville, WI), York Hospital (York, ME) and 1 more organization, listed in the Medicare section above. Each 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 Mary Schmidt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Schmidt accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Mary 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.

When was this NPI record last updated?

The NPPES record for Mary Schmidt was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.