Individual provider Active NPI

Jennifer Lyn Schmittauer, PA-C

  • Physician Assistant
  • Conroe, TX
National Provider Identifier
1639282031
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3251 I H 45 N
Conroe, TX 77304-2185
Phone
(936) 441-9000
NPI assigned
Aug 17, 2006
Last updated
Aug 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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 NU Primary

Addresses

Primary practice location

3251 I H 45 N
Conroe, TX 77304-2185

Mailing address

54 Chamomile CT
The Woodlands, TX 77382-2689
Phone (281) 684-6022

Other names 1

  • Jennifer Lyn Rose Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060201000878 TX Practitioner - Physician Assistant 7113987033 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Noble Anesthesia Partners, PLLC Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Hac Nguyen, MD - Family Practice, PLLC PastSince Jan 1, 2010 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1639282031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CHAMOMILE CT",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822689",
            "telephone_number": "281-684-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 I H 45 N",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042185",
            "telephone_number": "936-441-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITTAUER",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ROSE",
            "middle_name": "LYN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.