NPIMap

Individual provider Active NPI

Kathryn Ann Schisler, PA-C

  • Medical Physician Assistant
  • Conway, SC
National Provider Identifier
1508946765
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5011 Issued in SC
Practice address
1301 Creel St
Conway, SC 29527-5018
Phone
(843) 248-4414
Fax
(843) 248-3781
NPI assigned
Oct 16, 2006
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003952 MI
Medical Physician Assistant 363AM0700X 5011 SC Primary

Addresses

Primary practice location

1301 Creel St
Conway, SC 29527-5018

Mailing address

300 Singleton Ridge Rd
Attn Credentialing
Conway, SC 29526-0021
Phone (843) 234-6946

Other practice location 1

251 University Blvd
Ste A
Conway, SC 29526-8834
Phone (843) 347-0524

Other practice location 2

2367B Cypress Cir
Conway, SC 29526-8921
Phone (843) 349-1001

Other identifiers 1

IdentifierTypeStateIssuer
6489PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061130000286 MI Practitioner - Physician Assistant 8820096829 Reassigns benefits to 1 organization
I20231106003833 SC Practitioner - Physician Assistant 8820096829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

1301 Creel St
Conway, SC 29527-5018
Phone (843) 248-4414

2361 Cypress Cir
Conway, SC 29526-8921
Phone (843) 234-8600

2367 B Cypress Cir
Conway, SC 29526-8921
Phone (843) 349-1001

2369 Cypress Cir
Conway, SC 29526-8921
Phone (843) 347-3900

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7112

394 Singleton Ridge Rd
Conway, SC 29526-9150
Phone (843) 347-8050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5011SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jul 8, 2013 Accepting new patients
Conway Hospital, Inc. Medical CurrentSince Oct 1, 2024 Accepting new patients
Mymichigan Medical Group CurrentSince Jul 8, 2013 Accepting new patients
Access Medical Management, Inc. Past Accepting new patients
Conway Hospital, Inc. PastSince Jun 23, 2024 Accepting new patients
Medicos, P.a. PastSince Apr 14, 2024 Accepting new patients
Conway Hospital, Inc. Medical Past Accepting new patients

Locations

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

5785 E Broadway Rd
Mt Pleasant, MI 48858
Phone (989) 773-9421

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

1301 Creel St
Conway, SC 29527
Phone (843) 248-4414

2367B Cypress Cir
Conway, SC 29526
Phone (843) 349-1001

251 University Blvd
Ste A
Conway, SC 29526
Phone (843) 347-0524

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 11

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1508946765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTN CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295260021",
            "telephone_number": "843-234-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CREEL ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295275018",
            "telephone_number": "843-248-4414",
            "fax_number": "843-248-3781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 University Blvd",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268834",
            "country_code": "US",
            "telephone_number": "843-347-0524",
            "fax_number": "843-347-0655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2367B Cypress Cir",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268921",
            "country_code": "US",
            "telephone_number": "843-349-1001",
            "fax_number": "843-349-1008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHISLER",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003952",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "5011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6489PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.