Maryelizabeth Harriet Schwietert, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 10003780 Issued in WA

Practice address

Madigan Army Medical Center 9040a Jackson Ave
Joint Base Lewis McChord, WA 98431-4880

Phone

(509) 624-1184

Fax

(509) 625-1449

NPI assigned

Dec 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1629054416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER 9040A JACKSON AVE",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "509-850-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER 9040A JACKSON AVE",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984314880",
            "telephone_number": "509-624-1184",
            "fax_number": "509-625-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWIETERT",
        "first_name": "MARYELIZABETH",
        "middle_name": "HARRIET",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA 10003780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8401440",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam John Schafer, PA-C
• Alix Schneider, DDS
• Laura Schoolcraft, LCSW
• Johnathon Samuel Schumann, PMHNP
• Melanie Dawn Schwarz, MSN
• Matthew Main Scott, LCSW
• Kenneth Jay Robles Selerio, CRNA
• Teresa Ann Shelton, PA-C
• Zacchary Shepherd, CRNA
• Leah Renee Sherlock

• Medical Physician Assistant in Joint Base Lewis McChord, WA
• Providers in Joint Base Lewis McChord, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.