Active NPI
Mary C Schimp, PA-C
- Physician Assistant
- Emporium, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA055195
- Practice address
- 416 N Broad St
Emporium, PA 15834-1402 - Phone
- (814) 486-2202
- Fax
- (814) 788-4616
- NPI assigned
- Nov 8, 2011
- Last updated
- Nov 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA055195 | PA | Primary |
Addresses
Primary practice location
416 N Broad St
Emporium, PA 15834-1402
Mailing address
1404 Baltimore St
Suite 4
Hanover, PA 17331-8698
Phone (717) 637-0470
Other names 1
- Mary C Stewart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Willow St
Port Allegany, PA 16743-1332
Phone (814) 642-9531
26 Bolivar Dr
Bradford, PA 16701-3125
Phone (814) 817-4690
2729 W State St
Olean, NY 14760-1826
Phone (716) 379-6507
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017240 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Wellnow Urgent Care Practice, PC | Past | Accepting new patients | |
| Bradford Emergency Associates PC | Past | Accepting new patients | |
| Exigence Medical of Olean, PLLC | Past | Accepting new patients |
Locations
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
2729 W State St
Olean, NY 14760
Phone (716) 379-6507
26 Bolivar Dr
Bradford, PA 16701
Phone (814) 817-4690
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.
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
PA
-
dba Upper Allegheny Medical Center
- Rural Health Clinic/Center
- Port Allegany, PA
- NPI 1962469486
-
- Emergency Medicine Physician
- Bradford, PA
- NPI 1356605059
-
- Emergency Medical Services (Emergency Medicine) Physician
- Olean, NY
- NPI 1609967744
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Rochester, NY
- NPI 1013429752
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Coudersport, PA
- NPI 1619008554
Hospital
-
dba UPMC Cole
- Critical Access Hospital
- Coudersport, PA
- NPI 1326161662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448323200000",
"number": "1083991814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 BALTIMORE ST",
"address_2": "SUITE 4",
"city": "HANOVER",
"state": "PA",
"postal_code": "173318698",
"telephone_number": "717-637-0470",
"fax_number": "717-637-4987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 N BROAD ST",
"city": "EMPORIUM",
"state": "PA",
"postal_code": "158341402",
"telephone_number": "814-486-2202",
"fax_number": "814-788-4616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIMP",
"first_name": "MARY",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-08",
"last_updated": "2015-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA055195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "STEWART",
"middle_name": "C",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Emporium, PA
- Miranda Peiper, LPC
- Jodi Rae Regulski, P.A.-C
- Laira Rose Reuscher
- Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 07850)
- Patricia A Rupert, LCSW
- Nathan Scinico, P.A.-C
- Lauren Yetzer Shaver, PA-C
- Wellspring of Life Counseling LLC
- William F Wittman, CRNP
- Xavier Williams Corporation (Cameron County Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.