Kimberly Schauer, PA-C – Physician Assistant

Key facts

NPI: 1972048007
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: 6019 (CO)
Practice address: 18144 Seco St
Jamestown, CA 95327-9498
Phone: (209) 984-4820
NPI assigned: Dec 28, 2016
Sex: Female
Sole proprietor: No

Organizations & group practices 4

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.

Mathiesen Memorial Health Clinic Federally Qualified Health Center (FQHC) · Jamestown, CA · NPI 1255595484

Medicare reassignment TX
Choctaw Nation of Oklahoma Rural Acute Care Hospital · Talihina, OK · NPI 1659347623

Medicare reassignment TX
Choctaw Nation of Oklahoma Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Broken Bow, OK · NPI 1447143532

NPD
Mathiesen Memorial Health Center Primary Care Clinic/Center · Jamestown, CA · NPI 1356080022

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20211030000059	TX	Practitioner - Physician Assistant	7315220365	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
6019	CO	MD	Chiropractor
62542	CA	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Choctaw Nation of Oklahoma		Current since Oct 26, 2021	Accepting new patients
Mathiesen Memorial Health Center		Past since 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.p3@direct.mathiesenmemorialhc.nextgenshare.com
Direct secure messaging: kimberly.schauer.p1@direct.mathiesenmemorialhc.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	6019	CO	Yes

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

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

Other practice location 3

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

Other providers in Jamestown, CA

All providers in Jamestown, CA · Physician Assistant in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.