Individual provider Active NPI

Alexandra Schirmer, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1831720804
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006323RX Issued in OH
Practice address
4488 W Broad St Ste 3
Columbus, OH 43228-5610
Phone
(614) 453-1589
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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 50.006323RX OH Primary

Addresses

Primary practice location

4488 W Broad St Ste 3
Columbus, OH 43228-5610

Mailing address

5879 Rocky Shore Dr
Lewis Center, OH 43035-7991
Phone (513) 967-9259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200327002433 OH Practitioner - Physician Assistant 6800225715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Lighthouse Behavioral Health Solutions, LLCGroup PAC ID 4486089893, 14 clinicians

Practice addresses (Care Compare)

4000 E Main St
Columbus, OH 43213-2950
Phone (614) 334-6903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alvis Inc CurrentSince Dec 31, 2020 Accepting new patients

Locations

2100 Stella Ct
#2
Columbus, OH 43215
Phone (614) 502-7812

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.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1831720804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5879 ROCKY SHORE DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357991",
            "telephone_number": "513-967-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 W BROAD ST STE 3",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432285610",
            "telephone_number": "614-453-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIRMER",
        "first_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006323RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.