JESSICA SICKLER SCHMIDT (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1205181005

JESSICA SICKLER SCHMIDT (PMHNP) is a healthcare provider. based in San rafael, California. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 805170 (CA). The NPI Number for JESSICA SICKLER SCHMIDT (PMHNP) is 1205181005

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA SICKLER SCHMIDT (PMHNP)
NPI
1205181005
Phone
(415) 473-6793
Address
20 N San Pedro Rd Ste 2021
Enumeration Date
17 July 2012
Last Update Date
5 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7072067268109
Graduation Year
2011 (15 years ago)
PAC ID
8628489523
Group Practice PAC ID
0042470122
Professional Enrollment ID
I20201125001573
Address ID
CA954014691SA480XXCIRX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for JESSICA SICKLER SCHMIDT (PMHNP)

  • 20 N San Pedro Rd Ste 2021

    San Rafael, CA 94903

    Phone: (415) 473-6793

    Type: Location

  • 480 TESCONI CIR STE B

    SANTA ROSA, CA 954014691

    Phone: (707) 206-7268

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,246.

Total Amount is formed as General ($1,246) + Research ($0) + Ownership ($0) = $1,246.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($483).

Total Amount

$1,246

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,246

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201125001573INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes19256$0
90833Psychotherapy with evaluation and management visit, 30 minutes12046$0
99213Established patient office or other outpatient visit, 20-29 minutes3518$0
90836Psychotherapy with evaluation and management visit, 45 minutes3020$0
View full utilization report →

Insurance plans in this area (ZIP 94903)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042470122View full group profile

Reviews

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Frequently asked questions

What number should I use to identify JESSICA SICKLER SCHMIDT (PMHNP) for billing?
Administrative and clinical systems typically use NPI 1205181005 for JESSICA SICKLER SCHMIDT (PMHNP).
Is JESSICA SICKLER SCHMIDT (PMHNP) currently accepting referrals based on NPI status?
Registry metadata lists JESSICA SICKLER SCHMIDT (PMHNP) as active.
What services align with JESSICA SICKLER SCHMIDT (PMHNP)'s listing?
JESSICA SICKLER SCHMIDT (PMHNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JESSICA SICKLER SCHMIDT (PMHNP)?
JESSICA SICKLER SCHMIDT (PMHNP) is associated with San Rafael, California in the same public data insurers reference.
Why is information missing for JESSICA SICKLER SCHMIDT (PMHNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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