Individual provider Active NPI

Kaitlyn Alyse Schimmoeller, PA

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1033632997
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1080 Beecher Xing N Ste a
Columbus, OH 43230-4577
Phone
(556) 876-2278
NPI assigned
Jul 24, 2017
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary
Surgical Physician Assistant 363AS0400X NU
Surgical Physician Assistant 363AS0400X 50.005251RX OH

Addresses

Primary practice location

1080 Beecher Xing N Ste a
Columbus, OH 43230-4577

Mailing address

1080 Beecher Xing N Ste a
Columbus, OH 43230-4577
Phone (556) 876-2278

Other practice location 1

500 S Cleveland Ave
Westerville, OH 43081-8971
Phone (380) 898-4000

Other practice location 2

100 W Main St
Springfield, OH 45502-1312
Phone (937) 521-3900

Other practice location 3

465 N Cleveland Ave
Westerville, OH 43082-8081
Phone (614) 918-0030

Other practice location 4

139 Garau St
Bluffton, OH 45817-1027
Phone (419) 358-9010

Other practice location 5

7500 Hospital Dr
Dublin, OH 43016-8518
Phone (614) 544-8000

Other identifiers 1

IdentifierTypeStateIssuer
TR951636OtherOHDRIVER LICENSE

Other names 1

  • Kaitlyn Chiow Former name

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
I20170925000166 OH Practitioner - Physician Assistant 4284908674 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.005251RXOHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Neurological Consultants, Inc. Surgical CurrentSince Aug 21, 2017 Accepting new patients
Central Ohio Breast and Endocrine Surgery LLC CurrentSince May 26, 2024 Accepting new patients
Orthopedic & Neurological Consultants, Inc CurrentSince Aug 21, 2017 Accepting new patients
Midwest Breast and Aesthetic Surgery, Inc. PastSince May 26, 2024 Accepting new patients
Nppa Services Physician Assistant Past Accepting new patients

Locations

1313 Olentangy River Rd
Columbus, OH 43212
Phone (614) 221-3725

L 3973
Columbus, OH 43260

7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000

1080 Beecher Xing N
Ste A
Gahanna, OH 43230
Phone (614) 547-1770

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

70 S Cleveland Ave
Westerville, OH 43081
Phone (614) 839-2115

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1033632997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 BEECHER XING N STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432304577",
            "telephone_number": "556-876-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 BEECHER XING N STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432304577",
            "telephone_number": "556-876-2278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430818971",
            "country_code": "US",
            "telephone_number": "380-898-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W Main St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455021312",
            "country_code": "US",
            "telephone_number": "937-521-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "465 N Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828081",
            "country_code": "US",
            "telephone_number": "614-918-0030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 Garau St",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "OH",
            "postal_code": "458171027",
            "country_code": "US",
            "telephone_number": "419-358-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430168518",
            "country_code": "US",
            "telephone_number": "614-544-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHIMMOELLER",
        "first_name": "KAITLYN",
        "middle_name": "ALYSE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.005251RX",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "TR951636",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "CHIOW",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.