Individual provider Active NPI

Claire Schack, PA

  • Physician Assistant
  • Versailles, KY
National Provider Identifier
1003468968
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
460 Wilson Ave
Versailles, KY 40383-1947
Phone
(859) 879-0111
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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 Primary

Addresses

Primary practice location

460 Wilson Ave
Versailles, KY 40383-1947

Mailing address

460 Wilson Ave
Versailles, KY 40383-1947

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
I20191023000556 KY Practitioner - Physician Assistant 3779815816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Versailles Family Medicine, PLLCGroup PAC ID 2668576927, 8 clinicians

Practice addresses (Care Compare)

460 Wilson Ave
Versailles, KY 40383-1947
Phone (859) 879-0111

460 Wilson Ave FL
Suite 1
Versailles, KY 40383-1947

Hospital & facility affiliations

  • Bluegrass Community Hospital Hospital, Versailles, KY, CCN 181308

National Provider Directory

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHBDAA/Endpoint/FHBDAA
  • Direct secure messaging: claire.schack@vfmky.eclinicaldirectplus.com
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/6b5ca572-e891-4104-8fb9-743bf456966e

Organizations & group practices 1

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 1

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": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1003468968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 WILSON AVE",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 WILSON AVE",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831947",
            "telephone_number": "859-879-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACK",
        "first_name": "CLAIRE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Versailles, KY

Sources for this page

Verify at the official NPI Registry.