Individual provider Active NPI

Kimberly Schauer, PA-C

  • Physician Assistant
  • Jamestown, CA
National Provider Identifier
1972048007
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6019 Issued in CO
Practice address
18144 Seco St
Jamestown, CA 95327-9498
Phone
(209) 984-4820
NPI assigned
Dec 28, 2016
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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 6019 CO Primary

Addresses

Primary practice location

18144 Seco St
Jamestown, CA 95327-9498

Mailing address

18144 Seco St
Jamestown, CA 95327-9498
Phone (209) 984-4820

Other practice location 1

100 N 11th Ave
Greeley, CO 80631-2011
Phone (970) 352-8898

Other practice location 2

1010 A St
Greeley, CO 80631-2021
Phone (970) 313-0400

Other practice location 3

1400 37th St
Evans, CO 80620-1906
Phone (970) 348-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211030000059 TX Practitioner - Physician Assistant 7315220365 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62542CAMDGeneral Practice Dentistry
2754OKMDOptometrist
6019COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma CurrentSince Oct 26, 2021 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Oct 26, 2021 Accepting new patients
Mathiesen Memorial Health Center PastSince Jun 5, 2022 Accepting new patients

Locations

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

Interoperability endpoints

  • Direct secure messaging: kimberly.schauer.p1@direct.mathiesenmemorialhc.nextgenshare.com
  • Direct secure messaging: kimberly.schauer.p3@direct.mathiesenmemorialhc.nextgenshare.com

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": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1972048007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18144 SECO ST",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "953279498",
            "telephone_number": "209-984-4820",
            "fax_number": "970-350-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18144 SECO ST",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "953279498",
            "telephone_number": "209-984-4820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806312011",
            "country_code": "US",
            "telephone_number": "970-352-8898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 A St",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806312021",
            "country_code": "US",
            "telephone_number": "970-313-0400",
            "fax_number": "970-313-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 37th St",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "CO",
            "postal_code": "806201906",
            "country_code": "US",
            "telephone_number": "970-348-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAUER",
        "first_name": "KIMBERLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "6019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, CA

Sources for this page

Verify at the official NPI Registry.