Individual provider Active NPI

Elizabeth F Schaut, PA-C

  • Physician Assistant
  • Worcester, MA
National Provider Identifier
1629486006
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA102497 Issued in MA
Practice address
55 Lake Ave N
Worcester, MA 01655-0002
Phone
(508) 334-8585
Fax
(508) 334-4799
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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 PA102497 MA Primary

Addresses

Primary practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170807003387 CA Practitioner - Physician Assistant 0446477947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

2300 Boswell Rd
Suite 130
Chula Vista, CA 91914-3523
Phone (619) 837-8902

477 N El Camino Real
Suite D308
Encinitas, CA 92024-1370
Phone (760) 436-2300

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54293CAMDOrthodontics and Dentofacial Orthopedic Dentist
PA54293CAMDPhysician Assistant
3355-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc CurrentSince Mar 1, 2024 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Physician Assistant CurrentSince Jul 24, 2017 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jul 24, 2017 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Scripps Health PastSince Jun 21, 2022 Accepting new patients
SSM Health Care of Wisconsin, Inc. Past Accepting new patients

Locations

2300 Boswell Rd
Ste 130
Chula Vista, CA 91914
Phone (619) 837-8902

477 N El Camino Real
Ste D308
Encinitas, CA 92024
Phone (760) 436-2300

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

9095 Rio San Diego Dr
Ste 300
San Diego, CA 92108
Phone (619) 298-9809

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1629486006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-8585",
            "fax_number": "508-334-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUT",
        "first_name": "ELIZABETH",
        "middle_name": "F",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA102497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.