Kelly Catherine Schwager, NP-C
Individual provider Active NPI Family Nurse Practitioner · Meadville, MO
NPI 1316196751 · NPPES record last updated Nov 15, 2012
Key facts
- NPI
- 1316196751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2001015706 (MO)
- Practice address
- 101 E Hayward St
Meadville, MO 64659-9201 - Phone
- (660) 938-4213
- Fax
- (660) 938-4211
- NPI assigned
- Sep 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- General John J Pershing Memorial Hospital Association
Practice addresses (Care Compare)
101 E Hayward St
Meadville, MO 64659-9201
Phone (660) 938-4213
130 E Lockling St
Brookfield, MO 64628-2337
Hospital & facility affiliations
- Pershing Memorial Hospital
- Hedrick Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Community Medical Associates |
Rural health clinic | W-2 Managing Employee | Nov 1, 2021 |
| Meadville Medical Clinic |
Rural health clinic | W-2 Managing Employee | Nov 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081107000103 | MO | Practitioner - Nurse Practitioner | 5799844627 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001015706 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General John J Pershing Memorial Hospital Association | Current |
Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current |
Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current |
Accepting new patients |
Locations
130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050
101 E Hayward St
Meadville, MO 64659
Phone (660) 938-4213
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2001015706 | MO | Yes |
Addresses
Primary practice location
101 E Hayward St
Meadville, MO 64659-9201
Mailing address
101 E Hayward St
Meadville, MO 64659-9201
Phone (660) 938-4213
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316196751 | Medicaid | MO |
Other providers in Meadville, MO
- Paula L. Fairchild
- General John J Pershing Memorial Hospital Association
- Laurine Knowles
- Meadville R-IV
- Veteran Life Vitality Services LLC
- Brooke Zell
All providers in Meadville, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.