Individual provider Active NPI

Ariel Schulte, PA-C

  • Physician Assistant
  • Wytheville, VA
National Provider Identifier
1457754103
Registry record updated Apr 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-004755 Issued in VA
Practice address
245 Holston Rd
Wytheville, VA 24382-4486
Phone
(276) 227-0460
NPI assigned
Oct 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2015

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 0110-004755 VA Primary

Addresses

Primary practice location

245 Holston Rd
Wytheville, VA 24382-4486

Mailing address

105 Steeple St
Princeton, WV 24740-3984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 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
I20150303002526 VA Practitioner - Physician Assistant 8123344496 Reassigns benefits to 1 organization
I20181206001415 WV Practitioner - Physician Assistant 8123344496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Community Hospital Assn. Inc.Group PAC ID 3678482221, 174 clinicians

Practice addresses (Care Compare)

118 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936

122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936

401 E Vermillion St
Athens, WV 24712-8005
Phone (304) 384-7325

Hospital & facility affiliations

  • Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
789WVMDProfessional Counselor
0110-004755VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wythe County Physician Practices LLC CurrentSince Dec 30, 2014 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Sep 9, 2024 Accepting new patients
Virginia Highlands Orthopaedic Spine Center LLC Past Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients
Princeton Family Health Care PLLC Past Accepting new patients
Princeton Community Hospital Assn. Inc. Past Accepting new patients

Locations

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429920000000",
    "number": "1457754103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STEEPLE ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 HOLSTON RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243824486",
            "telephone_number": "276-227-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTE",
        "first_name": "ARIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2015-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-004755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

Verify at the official NPI Registry.