Kelly Catherine Schwager, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2001015706 Issued in MO

Practice address

101 E Hayward St
Meadville, MO 64659-9201

Phone

(660) 938-4213

Fax

(660) 938-4211

NPI assigned

Sep 10, 2008

Last updated

Nov 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

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 AssociationGroup PAC ID 2860306750, shared by 5 NPIs, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pershing Memorial Hospital Hospital, Brookfield, MO, CCN 261307
• Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• General John J Pershing Memorial Hospital Association

  dba Meadville Medical Clinic

  • Rural Health Clinic/Center
  • Meadville, MO
  • NPI 1285995944

  W-2 Managing Employee

  CMS ownership
• General John J Pershing Memorial Hospital Association

  dba Communtiy Medical Associates

  • Rural Health Clinic/Center
  • Brookfield, MO
  • NPI 1487616256

  W-2 Managing Employee

  CMS ownership

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.

• General John J Pershing Memorial Hospital Association

  dba Pershing Memorial Hospital

  • Critical Access Hospital
  • Brookfield, MO
  • NPI 1417991159
  Medicare reassignment NPD
• General John J Pershing Memorial Hospital Association

  dba Communtiy Medical Associates

  • Rural Health Clinic/Center
  • Brookfield, MO
  • NPI 1487616256
  Medicare reassignment NPD
• General John J Pershing Memorial Hospital Association

  dba Pershing Memorial Hospital

  • Primary Care Clinic/Center
  • Brookfield, MO
  • NPI 1982612461
  Medicare reassignment NPD
• General John J Pershing Memorial Hospital Association

  dba Meadville Medical Clinic

  • Rural Health Clinic/Center
  • Meadville, MO
  • NPI 1285995944
  NPD

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

• General John J Pershing Memorial Hospital Association

  dba Pershing Memorial Hospital

  • Critical Access Hospital
  • Brookfield, MO
  • NPI 1417991159
  Care Compare affiliation
• Saint Lukes Hospital of Chillicothe

  dba Hedrick Medical Center

  • Critical Access Hospital
  • Chillicothe, MO
  • NPI 1912948308
  Care Compare affiliation

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1316196751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E HAYWARD ST",
            "city": "MEADVILLE",
            "state": "MO",
            "postal_code": "646599201",
            "telephone_number": "660-938-4213",
            "fax_number": "660-938-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E HAYWARD ST",
            "city": "MEADVILLE",
            "state": "MO",
            "postal_code": "646599201",
            "telephone_number": "660-938-4213",
            "fax_number": "660-938-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAGER",
        "first_name": "KELLY",
        "middle_name": "CATHERINE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2001015706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula L. Fairchild, M.S., CCC-SLP
• General John J Pershing Memorial Hospital Association (Meadville Medical Clinic)
• Laurine Knowles
• Meadville R-IV
• Veteran Life Vitality Services LLC (VLV Services)
• Brooke Zell, CCC-SLP

• Family Nurse Practitioner in Meadville, MO
• Providers in Meadville, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.