Active NPI
Kacie L Schappert, PA-C
- Physician Assistant
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110003359
- Practice address
- 112 Gainsborough SQ Ste 100
Chesapeake, VA 23320-1706 - Phone
- (757) 410-2287
- Fax
- (757) 410-7747
- NPI assigned
- Jul 29, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3797 | CT | |
| Physician Assistant | 363A00000X | 0110003359 | VA | Primary |
Addresses
Primary practice location
112 Gainsborough SQ Ste 100
Chesapeake, VA 23320-1706
Mailing address
667 Kingsborough SQ Ste 101
Chesapeake, VA 23320-4999
Phone (757) 842-4481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Chesapeake Regional Medical Group | Current | Accepting new patients | |
| Chesapeake Regional Medical Group | Physician Assistant | Current | Accepting new patients |
Locations
1401 Roosevelt Ave
York, PA 17404
Phone (717) 356-6250
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
908 Eden Way N
Ste 101
Chesapeake, VA 23320
Phone (757) 312-6267
676 Kingsborough Sq
Ste B
Chesapeake, VA 23320
Phone (757) 548-3800
112 Gainsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 312-8221
667 Kingsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 312-3132
300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102
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 and National Provider Directory roles.
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- NPI 1699940270
Physician Assistant
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Urgent Care Clinic/Center
- Chesapeake, VA
- NPI 1255215133
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Family Medicine Physician
- York, PA
- NPI 1962149765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1174837389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 KINGSBOROUGH SQ STE 101",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204999",
"telephone_number": "757-842-4481",
"fax_number": "757-312-3135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 GAINSBOROUGH SQ STE 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233201706",
"telephone_number": "757-410-2287",
"fax_number": "757-410-7747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAPPERT",
"first_name": "KACIE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-29",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "3797",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110003359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.