Individual provider Active NPI

Kacie L Schappert, PA-C

  • Physician Assistant
  • Chesapeake, VA
National Provider Identifier
1174837389
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003359 Issued in VA
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

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181205000607 VA Practitioner - Physician Assistant 4486998242 Reassigns benefits to 1 organization
I20240203000567 PA Practitioner - Physician Assistant 4486998242 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Feb 12, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Feb 12, 2024 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Jan 1, 2020 Accepting new patients
Chesapeake Regional Medical Group Physician Assistant CurrentSince Jan 1, 2020 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.

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

Verify at the official NPI Registry.