Individual provider Active NPI

Michael J Schetter, DMSC, PA-C

  • Physician Assistant
  • Holland, OH
National Provider Identifier
1225452832
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003996RX Issued in OH
Practice address
6855 Spring Valley Dr Ste 110
Holland, OH 43528-9374
Phone
(855) 659-7734
NPI assigned
Feb 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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 50.003996RX OH Primary

Addresses

Primary practice location

6855 Spring Valley Dr Ste 110
Holland, OH 43528-9374

Mailing address

105 Lavender Hill Dr
Etna, OH 43062-7370
Phone (937) 360-6590

Other identifiers 1

IdentifierTypeStateIssuer
0127860MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NJ2 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
I20150810002822 OH Practitioner - Physician Assistant 4183939812 Reassigns benefits to 2 organizations
I20250910001633 NJ Practitioner - Physician Assistant 4183939812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Workit Health Oh LLCGroup PAC ID 1557788197, 10 clinicians

Practice addresses (Care Compare)

6855 Spring Valley Dr
Suite 110
Holland, OH 43528-9374
Phone (216) 438-0283

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: michael.schetter@597174495543300.direct.elationemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1225452832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LAVENDER HILL DR",
            "city": "ETNA",
            "state": "OH",
            "postal_code": "430627370",
            "telephone_number": "937-360-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 SPRING VALLEY DR STE 110",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289374",
            "telephone_number": "855-659-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHETTER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMSC, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003996RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127860",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

Verify at the official NPI Registry.