Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Matthew Schroeder

Individual provider Registered Nurse · NPI 1730773508

Jacob Matthew Schroeder is a Nurse Practitioner in Toledo, Ohio. Qualified in 2020, 6 years ago. Practices with Promedica Central Physicians, a 784-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone: (567) 585-0212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0028449 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.417897 (OH)

Record details

NPI number1730773508
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 23, 2021
Last updated in NPPESNovember 3, 2023
Certification dateFebruary 23, 2021
Mailing address949 Hickory Creek Dr, Temperance, MI 48182-2327

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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