Individual provider Active NPI

Kaitlyn Anne Schmid, PA-C

  • Physician Assistant
  • Monroe, NC
National Provider Identifier
1790109809
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-04836 Issued in NC
Practice address
600 Hospital Dr
Monroe, NC 28112-6000
Phone
(704) 993-3100
NPI assigned
Feb 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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 0010-04836 NC Primary

Addresses

Primary practice location

600 Hospital Dr
Monroe, NC 28112-6000

Mailing address

600 Hospital Dr
Monroe, NC 28112-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140430002120 NC Practitioner - Physician Assistant 1557594405 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medac Health Services PAGroup PAC ID 1254220809, 24 clinicians

Practice addresses (Care Compare)

1442 Military Cutoff Rd
Wilmington, NC 28403-3605
Phone (910) 256-6088

2600 New Village Way
Wilmington, NC 28405-7426
Phone (910) 338-2735

4402 Shipyard Blvd
Wilmington, NC 28403-6161
Phone (910) 791-0075

5245 S College Rd
Wilmington, NC 28412-2209
Phone (910) 392-7806

8115 Market St
Suite 100
Wilmington, NC 28411-8428
Phone (910) 686-1972

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medac Health Services, PA CurrentSince Jun 19, 2019 Accepting new patients
Hampstead Internal Medicine PA CurrentSince Oct 6, 2025 Accepting new patients
Medac Health Services, PA CurrentSince Jun 19, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2014 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

16747 US Highway 17
Ste 124
Hampstead, NC 28443
Phone (252) 944-3725

2600 New Village Way
Wilmington, NC 28405
Phone (910) 251-5858

8115 Market St
Ste 100
Wilmington, NC 28411
Phone (910) 256-6088

5245 College Rd S
Wilmington, NC 28412
Phone (910) 347-1515

4402 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 202-3363

8115 Market St
Wilmington, NC 28411
Phone (910) 256-6088

1442 Military Cutoff Rd
Wilmington, NC 28403
Phone (910) 256-6088

Interoperability endpoints

  • Direct secure messaging: kaitlyn.schmid.1@28745.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1790109809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281126000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281126000",
            "telephone_number": "704-993-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMID",
        "first_name": "KAITLYN",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.