Individual provider Active NPI

Elizabeth A Schneider, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1497183487
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056479 Issued in PA
Practice address
10050 Roosevelt Blvd Ste 2
Philadelphia, PA 19116-3965
Phone
(215) 552-2800
Fax
(610) 728-6071
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA056479 PA
Physician Assistant 363A00000X MA056479 PA Primary

Addresses

Primary practice location

10050 Roosevelt Blvd Ste 2
Philadelphia, PA 19116-3965

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other names 1

  • Elizabeth A Wasson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140108000442 PA Practitioner - Physician Assistant 8022246537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd 1St
Harron Lung Pcam
Philadelphia, PA 19104-4306
Phone (215) 662-3202

3400 Civic Ctr Blvd W Pavillion
4 Penn Diabetic Kidney Disease Perelman
Philadelphia, PA 19104-5134
Phone (215) 662-2638

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-7772

3400 Spruce St
FL 3
Philadelphia, PA 19104-4229
Phone (215) 662-3202

3535 Market St
Philadelphia, PA 19104-3362

3549 Chestnut St
FL 9
Philadelphia, PA 19104-3361
Phone (215) 662-7772

3624 Market St
FL 2
Philadelphia, PA 19104-5803
Phone (215) 662-7772

3737 Market St
FL 10
Philadelphia, PA 19104-5545
Phone (215) 662-8766

51 N 39TH St 1St FL Phi
Pulmomary Med PPMC
Philadelphia, PA 19104-2640
Phone (215) 662-8766

51 N 39TH St HVP 2ND FL
Pulmonary Dysp PPMC
Philadelphia, PA 19104-2640
Phone (215) 662-8888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group CurrentSince Aug 28, 2023 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 28, 2023 Accepting new patients

Locations

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3400 Spruce St
Ste F
Philadelphia, PA 19104
Phone (215) 662-3823

Organizations & group practices 3

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 2

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": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1497183487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 ROOSEVELT BLVD STE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163965",
            "telephone_number": "215-552-2800",
            "fax_number": "610-728-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056479",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WASSON",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.