Individual provider Active NPI

Mary Olivia Schmauder, PA

  • Physician Assistant
  • Alexandria, VA
National Provider Identifier
1245940048
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5911 Kingstowne Village Pkwy Ste 100
Alexandria, VA 22315-4645
Phone
(571) 449-2555
NPI assigned
Dec 2, 2022
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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 NU Primary

Addresses

Primary practice location

5911 Kingstowne Village Pkwy Ste 100
Alexandria, VA 22315-4645

Mailing address

8600 Nanlee Dr
Springfield, VA 22152-2716
Phone (703) 203-9029

Other practice location 1

8600 Nanlee Dr
Springfield, VA 22152-2716
Phone (703) 203-9029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20230331002185 DC Practitioner - Physician Assistant 5294100459 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
Group practices
Braun Dermatology and Skin Cancer Center, PCGroup PAC ID 5395788210, 9 clinicians

Practice addresses (Care Compare)

3301 New Mexico Ave NW
Suite 301
Washington, DC 20016-3603
Phone (202) 293-7618

Merit-based Incentive Payment System (MIPS)

Final score
94.71 of 100Reported as group
Quality
100
Improvement activities
40
Cost
82.35

National Provider Directory

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1245940048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 NANLEE DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522716",
            "telephone_number": "703-203-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 KINGSTOWNE VILLAGE PKWY STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223154645",
            "telephone_number": "571-449-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Nanlee Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221522716",
            "country_code": "US",
            "telephone_number": "703-203-9029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMAUDER",
        "first_name": "MARY",
        "middle_name": "OLIVIA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.