Individual provider Active NPI

Morgan Katherine Schroeder, PA

  • Physician Assistant
  • Glasgow, KY
National Provider Identifier
1376112664
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2784 Issued in KY
Practice address
210 Shane Dr
Glasgow, KY 42141-4102
Phone
(270) 651-4772
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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 PA2784 KY Primary

Addresses

Primary practice location

210 Shane Dr
Glasgow, KY 42141-4102

Mailing address

210 Shane Dr
Glasgow, KY 42141-4102
Phone (270) 651-4772

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://rplusmedspa.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210804002662 KY Practitioner - Physician Assistant 7113321753 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
T J Samson Community Hospital Current Accepting new patients
T J Samson Community Hospital Current Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Apr 19, 2023 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Apr 19, 2023 Accepting new patients
T J Samson Community Hospital Physician Assistant CurrentSince Jul 1, 2021 Accepting new patients

Locations

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

Organizations & group practices 8

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1376112664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SHANE DR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421414102",
            "telephone_number": "270-651-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SHANE DR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421414102",
            "telephone_number": "270-651-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "MORGAN",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://rplusmedspa.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "210 Shane Dr",
            "city": "Glasgow",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421414102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.