Individual provider Active NPI

Makailyn Grace Schoonover, PA-C

  • Medical Physician Assistant
  • La Grange, KY
National Provider Identifier
1851186258
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
TC031 Issued in KY
Practice address
1023 New Moody LN Ste 102
La Grange, KY 40031-9183
Phone
(502) 222-0598
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X TC031 KY
Medical Physician Assistant 363AM0700X TC031 KY Primary

Addresses

Primary practice location

1023 New Moody LN Ste 102
La Grange, KY 40031-9183

Mailing address

1704 Grand Villa Dr
La Grange, KY 40031-8956
Phone (502) 758-6119

Other names 1

  • Makailyn Maikranz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250428000566 KY Practitioner - Physician Assistant 0941726525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

1025 New Moody LN
La Grange, KY 40031-9154
Phone (502) 222-3255

3900 Kresge Way
Louisville, KY 40207-4681

4001 Kresge Way
Louisville, KY 40207-4640

4002 Kresge Way
Suite 110
Louisville, KY 40207-4605
Phone (502) 928-8700

4031 N Dixie Hwy
Suite 104
Elizabethtown, KY 42701-7873
Phone (270) 982-4776

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TC031KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Associates Inc CurrentSince Apr 18, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 18, 2025 Accepting new patients

Locations

1023 New Moody Ln
Ste 102
Lagrange, KY 40031
Phone (502) 222-0598

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

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 2

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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1851186258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 GRAND VILLA DR",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400318956",
            "telephone_number": "502-758-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 NEW MOODY LN STE 102",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319183",
            "telephone_number": "502-222-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOONOVER",
        "first_name": "MAKAILYN",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "TC031",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TC031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKAILYN",
            "last_name": "MAIKRANZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Grange, KY

Sources for this page

Verify at the official NPI Registry.