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KRISTINE HELD SCHMITZ M.D.
NPI 1922329218
Pediatrics in Somerset, NJ

Active since June 21, 2010PECOS Enrolled
1 WORLDS FAIR DR, SOMERSET, NJ 08873(732) 743-5437 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2021, May 5, 2021 (2 updates tracked since 2021).

About Kristine Held Schmitz M.d. NPPES

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

KRISTINE HELD SCHMITZ M.D. (NPI 1922329218) is an individual pediatrics provider in Somerset, New Jersey, licensed in District Of Columbia (MD041639) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1922329218
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKRISTINE HELD SCHMITZCredential: M.D.
Location Address1 WORLDS FAIR DRSomerset, NJ 08873-1344
Mailing AddressPo Box 37215Baltimore, MD 21297-3215
Phone(732) 743-5437
Sole ProprietorYes
Enumeration DateJune 21, 2010
Last NPPES UpdateJuly 1, 20212 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
✔ NPI 1922329218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in DC · MD041639
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1 WORLDS FAIR DR, Somerset, NJ 08873
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Secondary Practice Location 1

Location 1111 Michigan Ave NWWashington, DC 20010-2916 · Phone (202) 476-2123

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristine Held Schmitz M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08873 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 9

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

OMAR NOOR M.D.
Student in an Organized Health Care Education/Training Program
1 WORLDS FAIR DR
SOMERSET, NJ 08873
Somerset County (734) 463-7546
DR. APARNA ARUN MD
Pediatrics
1 WORLDS FAIR DR, SUITE 1
SOMERSET, NJ 08873
Somerset County (732) 743-5437
DR. AMY S PAPPERT MD
Dermatology
1 WORLDS FAIR DR, SUITE 2400
SOMERSET, NJ 08873
Somerset County (732) 235-7765
ELSIE ROCA-PICCINI
Pediatrics
1 WORLDS FAIR DR, ROBERT WOOD JOHNSON UNIVERSITY MEDICAL GROUP - SOMERSET
SOMERSET, NJ 08873
Somerset County (732) 743-5437
DR. SHOSHANA ZITTER MD
Pediatrics
1 WORLDS FAIR DR
SOMERSET, NJ 08873
Somerset County (732) 743-5437
ESHA SHAH MD
Pediatrics
1 WORLDS FAIR DR
SOMERSET, NJ 08873
Somerset County (732) 743-5437
EMANUEL LERNER MD
Pediatrics
1 WORLDS FAIR DR, ROBERT WOOD JOHNSON UNIVERSITY MEDICAL GROUP - SOMERSET
SOMERSET, NJ 08873
Somerset County (732) 743-5437
ALISON ROSE ROMISHER MD
Dermatology
1 WORLDS FAIR DR
SOMERSET, NJ 08873
Somerset County (732) 235-7993

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 Kristine Schmitz's NPI number?

The NPI number for Kristine Schmitz is 1922329218. It was assigned to this individual provider in the NPPES registry on June 21, 2010.

Where is Kristine Schmitz located?

Kristine Schmitz practices at 1 Worlds Fair Dr, Somerset, NJ 08873. The listed phone number is (732) 743-5437.

What is Kristine Schmitz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kristine Schmitz enrolled in Medicare?

Yes. Kristine Schmitz is registered in the Medicare PECOS enrollment system.

What insurance does Kristine Schmitz accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kristine 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 Kristine Schmitz was last updated on July 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.