Individual provider Active NPI

Kenneth Scott Schaefer, PA-C

  • Surgical Physician Assistant
  • Reno, NV
National Provider Identifier
1982929675
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA1215 Issued in NV
Practice address
9990 Double R Blvd
Suite 200
Reno, NV 89521-6014
Phone
(775) 348-8800
Fax
(775) 348-8818
NPI assigned
Apr 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA1215 NV Primary

Addresses

Primary practice location

9990 Double R Blvd
Suite 200
Reno, NV 89521-6014

Mailing address

9990 Double R Blvd
Suite 200
Reno, NV 89521-6014
Phone (775) 348-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20100714001062 NV Practitioner - Physician Assistant 8820120678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James J Lynch M D LTDGroup PAC ID 9133188626, 81 clinicians

Practice addresses (Care Compare)

1470 Medical Pkwy
Suite 220
Carson City, NV 89703-4647
Phone (775) 348-8800

2874 N Carson St
Suite 123
Carson City, NV 89706-1681
Phone (775) 783-6190

780 Vista Blvd
Suite 100
Sparks, NV 89434-6677
Phone (775) 348-8800

9480 Double Diamond Pkwy
Suite 200
Reno, NV 89521-5842
Phone (775) 348-8800

961 Mica Dr
Carson City, NV 89705-7269
Phone (775) 348-8800

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1215NVMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
James J Lynch M D LTD CurrentSince Apr 11, 2010 Accepting new patients
James J Lynch MD LTD CurrentSince Apr 11, 2010 Accepting new patients

Locations

1749 N Stewart St
Ste 50
Carson City, NV 89706
Phone (775) 392-3689

973 Mica Dr
Ste 201
Carson City, NV 89705
Phone (702) 884-5470

2874 N Carson St
Ste 105
Carson City, NV 89706
Phone (775) 283-3321

1470 Medical Pkwy
Ste 220
Carson City, NV 89703

9480 Double Diamond Pkwy
Ste 200
Reno, NV 89521
Phone (775) 348-8000

10381 Double R Blvd
Reno, NV 89521
Phone (775) 322-1200

9990 Double R Blvd
Ste 200
Reno, NV 89521
Phone (753) 488-8008

595 Mount Rose St
Reno, NV 89509
Phone (775) 323-3660

825 S Meadows Pkwy
Ste 102
Reno, NV 89521

1465 S Meadows Pkwy
Reno, NV 89521
Phone (775) 348-8885

10539 Professional Cir
Ste 201
Reno, NV 89521
Phone (775) 674-5632

7700 Rancharrah Pkwy
Ste 100
Reno, NV 89511

780 Vista Blvd
Ste 100
Sparks, NV 89434
Phone (753) 348-8800

780 Vista Blvd
#101
Sparks, NV 89434

780 Vista Blvd
Ste 101
Sparks, NV 89434

Interoperability endpoints

  • Direct secure messaging: kschaefer422210@direct.med.utah.edu
  • Direct secure messaging: kenneth.schaefer.1@22724.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1982929675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 DOUBLE R BLVD",
            "address_2": "SUITE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216014",
            "telephone_number": "775-348-8800",
            "fax_number": "775-348-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 DOUBLE R BLVD",
            "address_2": "SUITE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216014",
            "telephone_number": "775-348-8800",
            "fax_number": "775-348-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "KENNETH",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "PA1215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.