Individual provider Active NPI

Danielle Schimpf Dubiel, PA-C

  • Dermatology Physician
  • Shenandoah, TX
National Provider Identifier
1801265319
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4109 Issued in SC
Practice address
8850 Six Pines Dr
Suite 290
Shenandoah, TX 77380-2683
Phone
(281) 364-8844
Fax
(281) 364-8833
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4109 SC Primary

Addresses

Primary practice location

8850 Six Pines Dr
Suite 290
Shenandoah, TX 77380-2683

Mailing address

933 Saint Andrews Blvd
Charleston, SC 29407-7138
Phone (281) 364-8844

Other names 1

  • Danielle Lynn Schimpf Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151107000087 TX Practitioner - Physician Assistant 2365752193 Reassigns benefits to 1 organization
I20211117002259 SC Practitioner - Physician Assistant 2365752193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Georgia Regents University College of Dental Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Dermatology Clinic, PAGroup PAC ID 2062462898, 3 clinicians

Practice addresses (Care Compare)

933 Saint Andrews Blvd
Charleston, SC 29407-7138
Phone (843) 766-9868

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4109SCMDDentist

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 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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1801265319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 SAINT ANDREWS BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077138",
            "telephone_number": "281-364-8844",
            "fax_number": "281-364-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 SIX PINES DR",
            "address_2": "SUITE 290",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773802683",
            "telephone_number": "281-364-8844",
            "fax_number": "281-364-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBIEL",
        "first_name": "DANIELLE",
        "middle_name": "SCHIMPF",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "4109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "SCHIMPF",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.