Individual provider Active NPI

Tiffany Charlotte Schaefer, PA

  • Surgical Physician Assistant
  • Newport News, VA
National Provider Identifier
1568880896
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0110004547 Issued in VA
Practice address
11848 Rock Landing Dr
Suite 402
Newport News, VA 23606-4425
Phone
(757) 873-1374
Fax
(757) 873-1612
NPI assigned
Apr 3, 2014
Last updated
Apr 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0110004547 VA Primary

Addresses

Primary practice location

11848 Rock Landing Dr
Suite 402
Newport News, VA 23606-4425

Mailing address

856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Phone (757) 594-4006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140702000701 VA Practitioner - Physician Assistant 8820213044 Reassigns benefits to 1 organization

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
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

1500 Commonwealth Ave
Williamsburg, VA 23185-5229
Phone (757) 585-2250

500 J Clyde Morris Blvd
Newport News, VA 23601-1929

7519 Hospital Dr
Gloucester, VA 23061-4178
Phone (804) 693-8899

7544 Hospital Dr
Suite 202
Gloucester, VA 23061-4178
Phone (804) 694-5553

7552 Hospital Dr
Suite 302
Gloucester, VA 23061-4178
Phone (804) 693-9062

7554 Hospital Dr
Suite D 303
Gloucester, VA 23061-4178
Phone (804) 693-3400

7560 Hospital Dr
Suite 101
Gloucester, VA 23061-4178
Phone (804) 693-0529

7580 Hospital Dr
Suite 201
Gloucester, VA 23061-4178
Phone (804) 695-8592

7590 Hospital Dr
Suite C 204
Gloucester, VA 23061-4178
Phone (804) 693-5560

856 J Clyde Morris Blvd
Newport News, VA 23601-1318

856 J Clyde Morris Blvd a
Newport News, VA 23601-1318

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110004547VAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince May 17, 2014 Accepting new patients
Riverside Physician Services Inc CurrentSince May 17, 2014 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

11848 Rock Landing Dr
Ste 402
Newport News, VA 23606
Phone (757) 234-8770

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

1500 Commonwealth Ave
Williamsburg, VA 23185
Phone (757) 585-2200

Interoperability endpoints

  • Direct secure messaging: tschaefer11966@direct.rivhs.com

Organizations & group practices 4

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 3

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1568880896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11848 ROCK LANDING DR",
            "address_2": "SUITE 402",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064425",
            "telephone_number": "757-873-1374",
            "fax_number": "757-873-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "TIFFANY",
        "middle_name": "CHARLOTTE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110004547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.