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

MS. Cynthia Ann Schackman, ARNPORPFMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1154419877

MS. Cynthia Ann Schackman, ARNPORPFMHNP is a Nurse Practitioner in Bemidji, Minnesota. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2006

Practice location Address checks out

1526 30th St NW
Bemidji, MN 56601-4140
Phone: (218) 751-0887
Fax: (218) 759-4807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R1590218 (MN)

Record details

NPI number1154419877
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNPORPFMHNP
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bemidji