Individual provider Active NPI

Oleva C Schoedlbauer, P.A.-C.

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1003099243
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC074 Issued in KY
Practice address
1401 Harrodsburg Rd
Suite a-540
Lexington, KY 40504-3751
Phone
(859) 258-6760
Fax
(859) 258-6512
NPI assigned
Dec 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TC074 KY
Surgical Physician Assistant 363AS0400X TC074 KY
Physician Assistant 363A00000X TC074 KY Primary

Addresses

Primary practice location

1401 Harrodsburg Rd
Suite a-540
Lexington, KY 40504-3751

Mailing address

800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-5908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080107000372 KY Practitioner - Physician Assistant 4688754484 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Mso LLCGroup PAC ID 0749450633, 53 clinicians

Practice addresses (Care Compare)

105 Prather Path
Georgetown, KY 40324-9206

175 Hospital Dr
Suite 120
Georgetown, KY 40324
Phone (502) 570-2324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TC074KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Mar 10, 2013 Accepting new patients
Kentucky Mso LLC CurrentSince Jul 21, 2024 Accepting new patients
Marshall Emergency Services Associates, PLLC Physician Assistant Past Accepting new patients
Kentucky Mso LLC Physician Assistant Past Accepting new patients

Locations

105 Prather Path
Ste 1200
Georgetown, KY 40324
Phone (502) 570-3785

1140 Lexington Rd
Ste 105
Georgetown, KY 40324
Phone (502) 868-5660

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

Interoperability endpoints

  • Direct secure messaging: oleva.coleman.mullins.1@19475.direct.athenahealth.com
  • Direct secure messaging: omullins22247@ukhcdirect.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1003099243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "SUITE A-540",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-258-6760",
            "fax_number": "859-258-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEDLBAUER",
        "first_name": "OLEVA",
        "middle_name": "C",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TC074",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "TC074",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.