Active NPI
Susan Lynn Schooler, P.A.-C.
- Physician Assistant
- West Des Moines, IA
National Provider Identifier
1942202528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 00000
- Practice address
- 1045 76TH St
Suite 1050
West Des Moines, IA 50266-5886 - Phone
- (515) 223-0119
- Fax
- (515) 457-3164
- NPI assigned
- Aug 12, 2005
- Last updated
- Mar 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 00000 | IA | Primary |
Addresses
Primary practice location
1045 76TH St
Suite 1050
West Des Moines, IA 50266-5886
Mailing address
2213 Grand Ave
Des Moines, IA 50312-5305
Phone (515) 237-3974
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07215 | Other | IA | WELLMARK BCBS |
| P00365902 | Other | IA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Effects Medspa Inc. | Past | Accepting new patients | |
| Bergman Cosmetic Surgery, PC | Physician Assistant | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1689629503
Physician Assistant
-
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- Clive, IA
- NPI 1649560236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1942202528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 GRAND AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503125305",
"telephone_number": "515-237-3974",
"fax_number": "515-883-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 76TH ST",
"address_2": "SUITE 1050",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502665886",
"telephone_number": "515-223-0119",
"fax_number": "515-457-3164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOOLER",
"first_name": "SUSAN",
"middle_name": "LYNN",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-12",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "00000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "07215",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00365902",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.