Individual provider Active NPI

Kyla M Schauss, FNP

  • Nurse Practitioner
  • Mishawaka, IN
National Provider Identifier
1003407321
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71010881A Issued in IN
Practice address
413 W McKinley Ave Ste D
Mishawaka, IN 46545-5592
Phone
(574) 282-3230
Fax
(574) 282-3240
NPI assigned
Jan 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71010881A IN
Nurse Practitioner 363L00000X 71010881A IN Primary

Addresses

Primary practice location

413 W McKinley Ave Ste D
Mishawaka, IN 46545-5592

Mailing address

413 W McKinley Ave Ste D
Mishawaka, IN 46545-5592
Phone (574) 282-3230

Other practice location 1

2307 E Center St Ste A
Warsaw, IN 46580-3907
Phone (574) 282-3230

Other practice location 2

7910 W Jefferson Blvd Ste 108
Fort Wayne, IN 46804-4159
Phone (260) 436-0800

Other identifiers 1

IdentifierTypeStateIssuer
300048497MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230918002380 IN Practitioner - Nurse Practitioner 9739543141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

2514 E Dupont Rd
Suite 100
Fort Wayne, IN 46825-1619
Phone (260) 484-8830

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as apm
Quality
77.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71010881AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Wayne Medical Oncology and Hematology, Inc CurrentSince Oct 1, 2024 Accepting new patients
American Oncology Partners PA Nurse Practitioner CurrentSince Jan 2, 2025 Accepting new patients
Northern Indiana Maternal and Child Health Network, Inc Past Accepting new patients

Locations

6610 Mutual Dr
Fort Wayne, IN 46825

7910 W Jefferson Blvd
Ste 108
Fort Wayne, IN 46804
Phone (219) 484-8830

2514 E DuPont Rd
Ste 100
Fort Wayne, IN 46825
Phone (604) 848-8302

8550 Naab Rd
Ste 205
Indianapolis, IN 46260
Phone (317) 338-6040

2505 N Lebanon St
Ste 125
Lebanon, IN 46052
Phone (765) 483-7333

1025 Michigan Ave
Logansport, IN 46947
Phone (574) 753-9000

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 2

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": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1003407321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W MCKINLEY AVE STE D",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465455592",
            "telephone_number": "574-282-3230",
            "fax_number": "574-282-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W MCKINLEY AVE STE D",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465455592",
            "telephone_number": "574-282-3230",
            "fax_number": "574-282-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2307 E Center St Ste A",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465803907",
            "country_code": "US",
            "telephone_number": "574-282-3230",
            "fax_number": "574-282-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7910 W Jefferson Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044159",
            "country_code": "US",
            "telephone_number": "260-436-0800",
            "fax_number": "260-483-1911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAUSS",
        "first_name": "KYLA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010881A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010881A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300048497",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.