Individual provider Active NPI

Karassa Dawn Yeomans Schaefer, PAC

  • Medical Physician Assistant
  • Durango, CO
National Provider Identifier
1720098841
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1739 Issued in CO
Practice address
1305 Escalante Drive
Unit 205
Durango, CO 81303
Phone
(970) 259-1971
Fax
(970) 259-4036
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2002-0021 NM
Physician Assistant 363A00000X PA18376 CA
Physician Assistant 363A00000X 2070 WI
Medical Physician Assistant 363AM0700X 1739 CO Primary

Addresses

Primary practice location

1305 Escalante Drive
Unit 205
Durango, CO 81303

Mailing address

1305 Escalante Drive
Unit 205
Durango, CO 81303
Phone (970) 259-1971

Other practice location 1

622 W Maple Suite B
Farmington, NM 87401
Phone (505) 327-4867

Other names 1

  • Ms. Karassa Dawn Horrocks Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EHR Other

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 31, 2016 through May 31, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA18376CAMDPhysician Assistant
2070WIMDPhysician Assistant
1739COMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Health Family Medicine Clinic, P.C. Current Accepting new patients

Locations

555 Rivergate Ln
Ste B1-102
Durango, CO 81301
Phone (970) 259-1971

Interoperability endpoints

  • Direct secure messaging: karassa.yeomans.schaefer@36311315054596.direct.elationemr.com

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720098841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 ESCALANTE DRIVE",
            "address_2": "UNIT 205",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81303",
            "telephone_number": "970-259-1971",
            "fax_number": "970-259-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 ESCALANTE DRIVE",
            "address_2": "UNIT 205",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81303",
            "telephone_number": "970-259-1971",
            "fax_number": "970-259-4036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 W Maple Suite B",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "87401",
            "country_code": "US",
            "telephone_number": "505-327-4867",
            "fax_number": "505-327-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEOMANS SCHAEFER",
        "first_name": "KARASSA",
        "middle_name": "DAWN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-03-07",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "2002-0021",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18376",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2070",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "Elation EHR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "fax",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1305 Escalante Drive",
            "address_2": "Unit 205",
            "city": "Durango",
            "state": "CO",
            "country_code": "US",
            "postal_code": "81303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KARASSA",
            "last_name": "HORROCKS",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.