Theresa Schmitz, P.A.
NPI 1205928579 · Medical Physician Assistant · Hidden Valley Lake, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Schmitz, P.A. is a Medical Physician Assistant provider in Hidden Valley Lake, CA (NPI 1205928579).
Provider details
- NPI number
- 1205928579
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA14762 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
361 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Advance Care Planning, First 30 Minutes99497 | 145 | $69 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 75 | $71 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 73 | $118 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 35 | $107 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 21 | $157 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2016-01-27
Frequently asked questions
- What is Theresa Schmitz's NPI number?
- Theresa Schmitz's National Provider Identifier (NPI) is 1205928579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Schmitz's specialty?
- Theresa Schmitz is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Schmitz located?
- Theresa Schmitz's practice location on file with NPPES is 18990 Coyote Valley Rd Ste 10, Hidden Valley Lake, CA 95467-8339.
- What is Theresa Schmitz's phone number?
- The practice phone number listed in the NPPES registry for Theresa Schmitz is (707) 987-8344.
- Does Theresa Schmitz accept Medicare?
- Theresa Schmitz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Schmitz's NPI active?
- Yes — Theresa Schmitz's NPI (1205928579) is active in the NPPES registry as of the last update on 2016-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.