Individual provider Active NPI

Amy Rachelle Schoening, PA-C

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1154305159
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA746 Issued in NV
Practice address
640 W Moana LN
Suite 2
Reno, NV 89509-4903
Phone
(775) 323-2135
Fax
(775) 323-6435
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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 PA746 NV Primary

Addresses

Primary practice location

640 W Moana LN
Suite 2
Reno, NV 89509-4903

Mailing address

640 W Moana LN
Suite 2
Reno, NV 89509-4903
Phone (775) 323-2135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20040915001195 NV Practitioner - Physician Assistant 9830166065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clemmensen, Adams, and Tack PSCGroup PAC ID 1052398591, 8 clinicians

Practice addresses (Care Compare)

1505 Medical Pkwy
Carson City, NV 89703-4634
Phone (775) 883-7811

Merit-based Incentive Payment System (MIPS)

Final score
88.72 of 100Reported as group
Quality
72.55
Promoting interoperability
98
Improvement activities
40
Cost
91.52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain West Derm-Blackhart, PLLC Dermatology CurrentSince Dec 1, 2016 Accepting new patients
Mountain West Derm - Blackhart PLLC CurrentSince Dec 1, 2016 Accepting new patients
Scdi Surgery Center Past Accepting new patients

Locations

3950 Gs Richards Blvd
Carson City, NV 89703
Phone (775) 283-4080

3640 Warren Way
Ste 100
Reno, NV 89509

640 W Moana Ln
Ste 2
Reno, NV 89509
Phone (775) 323-2135

640 W Moana Ln
Reno, NV 89509
Phone (775) 882-8777

Interoperability endpoints

  • Direct secure messaging: aschoening@carsondermatology.emadirect.md

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1154305159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W MOANA LN",
            "address_2": "SUITE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094903",
            "telephone_number": "775-323-2135",
            "fax_number": "775-323-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W MOANA LN",
            "address_2": "SUITE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094903",
            "telephone_number": "775-323-2135",
            "fax_number": "775-323-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENING",
        "first_name": "AMY",
        "middle_name": "RACHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.