Individual provider Active NPI

Abby Schrekenhofer, PA-C

  • Physician Assistant
  • Conway, AR
National Provider Identifier
1962166785
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
625 United Dr Ste 320
Conway, AR 72032-7828
Phone
(501) 358-6017
NPI assigned
Oct 27, 2021
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 NU Primary

Addresses

Primary practice location

625 United Dr Ste 320
Conway, AR 72032-7828

Mailing address

9601 Baptist Health Dr Ste 690
Little Rock, AR 72205-6328
Phone (501) 227-8422

Other practice location 1

9601 Baptist Health Dr Ste 690
Little Rock, AR 72205-6328
Phone (501) 227-8422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20220405002247 AR Practitioner - Physician Assistant 8729474499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Medical Group PLLCGroup PAC ID 1153753520, 17 clinicians

Practice addresses (Care Compare)

1416 W 43Rd Ave
Pine Bluff, AR 71603-7010
Phone (870) 535-7477

5 Medical Park Dr
Suite 200
Benton, AR 72015-3732
Phone (501) 776-3800

625 United Dr
Suite 320
Conway, AR 72032-7828
Phone (501) 227-8422

9601 Baptist Health Dr
Suite 690
Little Rock, AR 72205-6328
Phone (501) 227-8422

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Medical Group PLLC CurrentSince Feb 18, 2024 Accepting new patients

Locations

625 United Dr
Ste 320
Conway, AR 72032
Phone (501) 227-8422

9601 Baptist Health Dr
Ste 690
Little Rock, AR 72205
Phone (501) 227-8422

Interoperability endpoints

  • Direct secure messaging: akordsmeier@pmg.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1962166785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 690",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056328",
            "telephone_number": "501-227-8422",
            "fax_number": "501-329-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 UNITED DR STE 320",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327828",
            "telephone_number": "501-358-6017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9601 Baptist Health Dr Ste 690",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056328",
            "country_code": "US",
            "telephone_number": "501-227-8422",
            "fax_number": "501-537-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHREKENHOFER",
        "first_name": "ABBY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.