Individual provider Active NPI

Simon Schlegel, PA-C

  • Physician Assistant
  • Suite a, NC
National Provider Identifier
1215269170
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-04218 Issued in NC
Practice address
Pardee Urgent Care Four Season
212 Thompson Street
Suite a, NC 28792-2895
Phone
(828) 697-3232
Fax
(828) 698-0125
NPI assigned
Feb 3, 2010
Last updated
Nov 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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
Physician Assistant 363A00000X 0010-04218 NC Primary

Addresses

Primary practice location

Pardee Urgent Care Four Season
212 Thompson Street
Suite a, NC 28792-2895

Mailing address

212 Thompson St Ste a
Hendersonville, NC 28792-2895
Phone (828) 697-3232

Other identifiers 1

IdentifierTypeStateIssuer
NCD463BOtherNCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130829000675 NC Practitioner - Physician Assistant 5597958884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henderson County Urgent Care Center IncGroup PAC ID 2466407572, 25 clinicians

Practice addresses (Care Compare)

212 Thompson St
Suite a
Hendersonville, NC 28792-2895
Phone (828) 697-3232

3334 Boylston Hwy
Suite 10
Mills River, NC 28759-4103
Phone (828) 694-8100

45 Hendersonville Hwy
Pisgah Forest, NC 28768-8895
Phone (828) 435-8100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-04218NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Sep 28, 2024 Accepting new patients
Henderson County Hospital Corporation PastSince Jul 25, 2019 Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

Interoperability endpoints

  • Direct secure messaging: sschlegel203785@direct.unc.nchie.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1215269170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 THOMPSON ST STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922895",
            "telephone_number": "828-697-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARDEE URGENT CARE FOUR SEASON",
            "address_2": "212 THOMPSON STREET",
            "city": "SUITE A",
            "state": "NC",
            "postal_code": "287922895",
            "telephone_number": "828-697-3232",
            "fax_number": "828-698-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEGEL",
        "first_name": "SIMON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-03",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NCD463B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.