Individual provider Active NPI

Renee M Schnupp, PA-C

  • Physician Assistant
  • Brooklyn, OH
National Provider Identifier
1003290883
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004385 Issued in OH
Practice address
7580 Northcliff Ave Ste 1000
Brooklyn, OH 44144-3271
Phone
(440) 808-1212
NPI assigned
Jul 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004385 OH Primary

Addresses

Primary practice location

7580 Northcliff Ave Ste 1000
Brooklyn, OH 44144-3271

Mailing address

850 Columbia Rd Ste 200
Westlake, OH 44145-7215
Phone (440) 808-1212

Other practice location 1

850 Columbia Rd
Suite 200
Westlake, OH 44145-1493
Phone (440) 808-1212

Other identifiers 2

IdentifierTypeStateIssuer
P01971447OtherOHMEDIARE RAILROAD
0149565MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150825003963 OH Practitioner - Physician Assistant 4486960234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Gastroenterology, Inc.Group PAC ID 3072409382, 24 clinicians

Practice addresses (Care Compare)

7580 Northcliff Ave
Suite 1000
Cleveland, OH 44144-3271
Phone (440) 808-1212

850 Columbia Rd
Suite 200
Westlake, OH 44145-7215
Phone (440) 808-1212

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Marymount Hospital Hospital, Garfield Heights, OH, CCN 360143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.004385OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Endoscopy Center Current Accepting new patients

Locations

7580 Northcliff Ave
Ste 1000
Cleveland, OH 44144

850 Columbia Rd
Ste 200
Westlake, OH 44145

835 Sharon Dr
Ste 250
Westlake, OH 44145

Interoperability endpoints

  • Direct secure messaging: rschnupp28471@ehrdirect.uhhospitals.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1003290883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 COLUMBIA RD STE 200",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441457215",
            "telephone_number": "440-808-1212",
            "fax_number": "440-808-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 NORTHCLIFF AVE STE 1000",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443271",
            "telephone_number": "440-808-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Columbia Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441451493",
            "country_code": "US",
            "telephone_number": "440-808-1212",
            "fax_number": "440-808-2060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNUPP",
        "first_name": "RENEE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-12",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIARE RAILROAD",
            "identifier": "P01971447",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149565",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, OH

Sources for this page

Verify at the official NPI Registry.