Individual provider Active NPI

Shelley Marie Schuler, P.A.

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1861653214
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001204A Issued in IN
Practice address
3810 Springhurst Blvd Ste 200
Louisville, KY 40241-6162
Phone
(502) 583-1749
Fax
(502) 329-8184
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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 10001204A IN Primary

Addresses

Primary practice location

3810 Springhurst Blvd Ste 200
Louisville, KY 40241-6162

Mailing address

3810 Springhurst Blvd Ste 200
Louisville, KY 40241-6162
Phone (502) 583-1749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190610002282 KY Practitioner - Physician Assistant 8921268277 Reassigns benefits to 1 organization
I20240711002777 IL Practitioner - Physician Assistant 8921268277 Reassigns benefits to 1 organization
I20240725000137 WI Practitioner - Physician Assistant 8921268277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology Clinic IncGroup PAC ID 7315288644, 3 clinicians
Advanced Dermatology, Inc.Group PAC ID 5698748390, 3 clinicians

Practice addresses (Care Compare)

1036 W Stephenson St
FL 3
Freeport, IL 61032-4865
Phone (888) 423-7880

412 18TH Ave
Monroe, WI 53566-1159
Phone (608) 329-5773

6510 Grand Teton Plaza
Suite 302
Madison, WI 53719-1029

6510 Grand Teton PLZ
Suite 302
Madison, WI 53719-1029
Phone (608) 826-0285

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9561GAMDDentist
10001204AINMDPhysician Assistant

Organizations & group practices 3

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1861653214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 SPRINGHURST BLVD STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416162",
            "telephone_number": "502-583-1749",
            "fax_number": "502-329-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 SPRINGHURST BLVD STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416162",
            "telephone_number": "502-583-1749",
            "fax_number": "502-329-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULER",
        "first_name": "SHELLEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001204A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.