Individual provider Active NPI

Kylon A Schmitt, P.A.-C.

  • Physician Assistant
  • Altoona, IA
National Provider Identifier
1164506622
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000747 Issued in IA
Practice address
3770 8TH St SW Ste B
Altoona, IA 50009
Phone
(515) 270-1000
Fax
(515) 967-5581
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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 000747 IA Primary

Addresses

Primary practice location

3770 8TH St SW Ste B
Altoona, IA 50009

Mailing address

3770 8TH St SW Ste B
Altoona, IA 50009-1048
Phone (515) 270-1000

Other identifiers 1

IdentifierTypeStateIssuer
000747OtherIAIOWA LICENSE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boone County Hospital Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1164506622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 8TH ST SW STE B",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091048",
            "telephone_number": "515-270-1000",
            "fax_number": "515-967-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 8TH ST SW STE B",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "50009",
            "telephone_number": "515-270-1000",
            "fax_number": "515-967-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITT",
        "first_name": "KYLON",
        "middle_name": "A",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "000747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "000747",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.