Individual provider Active NPI

Kevin Alexander Schrank, PA-C

  • Physician Assistant
  • Pflugerville, TX
National Provider Identifier
1609838325
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04807 Issued in TX
Practice address
15822 Foothill Farms Loop
Pflugerville, TX 78660-3422
Phone
(512) 978-9840
Fax
(512) 901-9770
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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 PA04807 TX Primary

Addresses

Primary practice location

15822 Foothill Farms Loop
Pflugerville, TX 78660-3422

Mailing address

15822 Foothill Farms Loop
Pflugerville, TX 78660-3422
Phone (512) 978-9840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA04807TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City of Austin Past Accepting new patients

Organizations & group practices 1

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1609838325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15822 FOOTHILL FARMS LOOP",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603422",
            "telephone_number": "512-978-9840",
            "fax_number": "512-901-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15822 FOOTHILL FARMS LOOP",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603422",
            "telephone_number": "512-978-9840",
            "fax_number": "512-901-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRANK",
        "first_name": "KEVIN",
        "middle_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.