Individual provider Active NPI

Annette Michelle Schanz, PA-C

  • Surgical Physician Assistant
  • Hampton, VA
National Provider Identifier
1962779033
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0110007649 Issued in VA
Practice address
3000 Coliseum Dr Ste 200
Hampton, VA 23666-5963
Phone
(757) 736-7280
Fax
(757) 224-3541
NPI assigned
Nov 17, 2011
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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 MA055218 PA
Surgical Physician Assistant 363AS0400X 0110007649 VA Primary

Addresses

Primary practice location

3000 Coliseum Dr Ste 200
Hampton, VA 23666-5963

Mailing address

3000 Coliseum Dr Ste 200
Hampton, VA 23666-5963
Phone (757) 736-7280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20151211000313 PA Practitioner - Physician Assistant 7618278979 Reassigns benefits to 1 organization
I20211102001455 VA Practitioner - Physician Assistant 7618278979 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA055218PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Dec 13, 2021 Accepting new patients
Einstein Practice Plan Inc CurrentSince Sep 13, 2015 Accepting new patients
Einstein Practice Plan Inc CurrentSince Sep 13, 2015 Accepting new patients
Children's Surgical Specialty Group, Inc Past Accepting new patients

Locations

60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

5401 Old York Rd
Ste 5
Philadelphia, PA 19141
Phone (215) 456-6127

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

3000 Coliseum Dr
Ste 200
Hampton, VA 23666
Phone (757) 736-7250

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: annette.schanz@direct.einstein.edu

Organizations & group practices 5

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": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1962779033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLISEUM DR STE 200",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665963",
            "telephone_number": "757-736-7280",
            "fax_number": "757-224-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLISEUM DR STE 200",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665963",
            "telephone_number": "757-736-7280",
            "fax_number": "757-224-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANZ",
        "first_name": "ANNETTE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA055218",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110007649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.