Individual provider Active NPI

Margaret Schmidt Endris, PA-C

  • Medical Physician Assistant
  • Shelbyville, KY
National Provider Identifier
1083691547
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA738 Issued in KY
Practice address
231 Midland Park
Shelbyville, KY 40065-9735
Phone
(502) 633-6040
Fax
(502) 633-6992
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA738 KY Primary

Addresses

Primary practice location

231 Midland Park
Shelbyville, KY 40065-9735

Mailing address

231 Midland Park
Shelbyville, KY 40065-9735
Phone (502) 633-6040

Other identifiers 1

IdentifierTypeStateIssuer
78006673MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA738KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arturo Cordova Past Accepting new patients
PCN Surgical Suites, LLC Past Accepting new patients
Pain Control Network, PSC Past Accepting new patients
Alan D Honaker, MD PSC Past Accepting new patients

Organizations & group practices 4

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083691547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MIDLAND PARK",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400659735",
            "telephone_number": "502-633-6040",
            "fax_number": "502-633-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MIDLAND PARK",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400659735",
            "telephone_number": "502-633-6040",
            "fax_number": "502-633-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRIS",
        "first_name": "MARGARET",
        "middle_name": "SCHMIDT",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78006673",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.