Individual provider Active NPI

Lindsey Ryan Schiellerd, PA

  • Physician Assistant
  • East Lansing, MI
National Provider Identifier
1780981233
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005948 Issued in MI
Practice address
612 W Lake Lansing Rd
Suite 200
East Lansing, MI 48823-8528
Phone
(517) 324-7020
Fax
(517) 324-7021
NPI assigned
Feb 18, 2011
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 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 5601005948 MI Primary

Addresses

Primary practice location

612 W Lake Lansing Rd
Suite 200
East Lansing, MI 48823-8528

Mailing address

2045 Asher CT
Ste 200
East Lansing, MI 48823-8444
Phone (517) 324-7020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120518000597 MI Practitioner - Physician Assistant 3375706823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Clinic of East Lansing PLLCGroup PAC ID 1355413915, 3 clinicians

Practice addresses (Care Compare)

108 W Higham St
Saint Johns, MI 48879-1559
Phone (989) 227-0011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601005948MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Pulmonary Consultants, PC Past Accepting new patients

Organizations & group practices 2

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": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1780981233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 ASHER CT",
            "address_2": "STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238444",
            "telephone_number": "517-324-7020",
            "fax_number": "151-732-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W LAKE LANSING RD",
            "address_2": "SUITE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238528",
            "telephone_number": "517-324-7020",
            "fax_number": "517-324-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIELLERD",
        "first_name": "LINDSEY",
        "middle_name": "RYAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.