Individual provider Active NPI

Desiree Schneider, PA-C

  • Medical Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1831805936
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
6285 S Higley Rd
Gilbert, AZ 85298-4262
Phone
(480) 460-4949
Fax
(480) 460-5858
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AM0700X AZ Primary

Addresses

Primary practice location

6285 S Higley Rd
Gilbert, AZ 85298-4262

Mailing address

6285 S Higley Rd
Gilbert, AZ 85298-4262
Phone (480) 460-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250612002873 AZ Practitioner - Physician Assistant 1850802372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian G Lee MD PLLCGroup PAC ID 4082914247, 18 clinicians

Practice addresses (Care Compare)

7301 E 2ND St
Suite 106
Scottsdale, AZ 85251-5609
Phone (480) 994-0308

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Shores Pediatrics Single Specialty CurrentSince Mar 26, 2023 Accepting new patients

Locations

6285 S Higley Rd
Gilbert, AZ 85298
Phone (480) 227-0804

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDGBAA

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1831805936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 S HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984262",
            "telephone_number": "480-460-4949",
            "fax_number": "480-460-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 S HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984262",
            "telephone_number": "480-460-4949",
            "fax_number": "480-460-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "DESIREE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.