DR. STACEY STEVENS SCHMIEDECKE (M.D.) – Maternal & Fetal Medicine Physician, NPI 1124392741
Maternal & Fetal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,037 OBSTETRICS/GYNECOLOGY in WA
Provider Addresses for DR. STACEY STEVENS SCHMIEDECKE (M.D.)
9040 JACKSON AVE
34800 BOB WILSON DRIVE
TACOMA, WA 984310001
Phone: (253) 968-2417
Fax: (253) 968-1254
Type: Mailing
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE
TACOMA, WA 984315000
Phone: (253) 968-2417
Fax: (253) 968-2385
Type: Location
Madigan Army Medical Center 9040 Jackson Avenue
Tacoma, WA 984315000
Phone: (253) 968-2417
Fax: (253) 968-2385
Type: Location
34800 BOB WILSON DR
DEPT OB/GYN, DIVISION OF MFM
SAN DIEGO, CA 921340001
Phone: (619) 532-7020
Fax: (619) 532-6378
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-01-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210121002127 | I | Obstetrics/Gynecology | IN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | KY | |
| Pediatric Medicine | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Otolaryngology, Pediatric Medicine | IN | |
| Gastroenterology, Pediatric Medicine | IN |
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