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: November 01, 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
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

Secondary Practice Location 1

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

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)

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kristine Schmitz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1 WORLDS FAIR DR
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1000 SOMERSET ST
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 39 clinicians in this Medicare group
Anesthesiology
125 PATERSON ST STE 5123
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 492 clinicians in this Medicare group
Pediatrics
680 HEACOCK RD STE 200
Yardley, PA 19067
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 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.

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 8

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

Pediatrics
1 WORLDS FAIR DR
SOMERSET, NJ 08873
Student in an Organized Health Care Education/Training Program
1 WORLDS FAIR DR
SOMERSET, NJ 08873
Dermatology
1 WORLDS FAIR DR
SOMERSET, NJ 08873
Pediatrics
1 WORLDS FAIR DR, ROBERT WOOD JOHNSON UNIVERSITY MEDICAL GROUP - SOMERSET
SOMERSET, NJ 08873
Pediatrics
1 WORLDS FAIR DR
SOMERSET, NJ 08873
Pediatrics
1 WORLDS FAIR DR
SOMERSET, NJ 08873
Dermatology
1 WORLDS FAIR DR, SUITE 2400
SOMERSET, NJ 08873
Pediatrics
1 WORLDS FAIR DR, ROBERT WOOD JOHNSON UNIVERSITY MEDICAL GROUP - SOMERSET
SOMERSET, NJ 08873

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.

Which organizations bill Medicare for Kristine Schmitz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Schmitz reassigns Medicare benefits to 4 organizations: Rutgers Health-Rwj Primary Medicine Group (Somerset, NJ), Rutgers Rwj Eric B. Chandler Health Center (New Brunswick, NJ), Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, NJ) and Stc Pediatrics LLC (Yardley, PA). 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 Kristine Schmitz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristine Schmitz accept?

Health plans from Ambetter Health and Oscar Health 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.