Individual provider Active NPI

Chelsey Myrtille Schramm, PA-C

  • Medical Physician Assistant
  • Little Rock, AR
National Provider Identifier
1548525504
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PT-1528 Issued in AR
Practice address
10301 Kanis Rd
Little Rock, AR 72205-6205
Phone
(501) 604-6900
Fax
(501) 604-6941
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085-004341 IL
Medical Physician Assistant 363AM0700X 3674 CO
Medical Physician Assistant 363AM0700X PT-1528 AR Primary

Addresses

Primary practice location

10301 Kanis Rd
Little Rock, AR 72205-6205

Mailing address

10301 Kanis Rd
Little Rock, AR 72205-6205
Phone (501) 604-6900

Other identifiers 1

IdentifierTypeStateIssuer
1548525504OtherARNPI

Other names 1

  • Chelsey Morgan Schramm Trout Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240531002609 WI Practitioner - Physician Assistant 9931358322 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3674COMDProfessional Counselor
PT-1528ARMDMedical Physician Assistant
085-004341ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC CurrentSince May 8, 2024 Accepting new patients
Elane Shirar MD Inc PastSince Nov 1, 1999 Accepting new patients
Fox Valley Physician Services SC Past Accepting new patients
Flatirons Family Practice Inc PastSince Jan 9, 2011 Accepting new patients
Simms Crossing Family Practice Inc PastSince Jul 30, 2013 Accepting new patients
F G Obregon & Associates SC Past Accepting new patients
Inpatient Consultants of Colorado, PC Past Accepting new patients
Inpatient Consultants of Colorado PC Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

502 S High St
Randolph, WI 53956
Phone (920) 326-3171

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1548525504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056205",
            "telephone_number": "501-604-6900",
            "fax_number": "501-604-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056205",
            "telephone_number": "501-604-6900",
            "fax_number": "501-604-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAMM",
        "first_name": "CHELSEY",
        "middle_name": "MYRTILLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-004341",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "3674",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PT-1528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548525504",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEY",
            "last_name": "TROUT",
            "middle_name": "MORGAN SCHRAMM",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.