Active NPI
Kenneth Scott Schaefer, PA-C
- Surgical Physician Assistant
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA1215
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Northern Nevada Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.42 of 100
- Quality
- 93.48
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.71 of 100
- Quality
- 81.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1215 | NV | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James J Lynch M D LTD | Current | Accepting new patients | |
| James J Lynch MD LTD | Current | 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
- kschaefer422210@direct.med.utah.edu
- 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.
-
- Specialist
- Reno, NV
- NPI 1285649608
-
- Durable Medical Equipment & Medical Supplies
- Carson City, NV
- NPI 1669157319
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1548250582
-
- General Acute Care Hospital
- Reno, NV
- NPI 1609451327
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.