AUDREY J SCHAEFER (PA-C) – Physician Assistant, NPI 1073847133

AUDREY J SCHAEFER (PA-C) is a healthcare provider. based in Idaho falls, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA810 (ID). The NPI Number for AUDREY J SCHAEFER (PA-C) is 1073847133

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
AUDREY J SCHAEFER (PA-C)
NPI
1073847133
Phone
(208) 535-4470
Address
2860 Channing Way
Enumeration Date
22 September 2009
Last Update Date
20 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3077333636
Graduation Year
2009 (17 years ago)
PAC ID
0648313478
Group Practice PAC ID
4880582295
Professional Enrollment ID
I20240618003454
Address ID
WY830018642JA625XXAVEX400

Contacts

Secure Messaging
aschaefer@sjmc.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

1,531 PHYSICIAN ASSISTANT in ID

Provider Addresses for AUDREY J SCHAEFER (PA-C)

  • 2860 Channing Way

    #117

    Idaho Falls, ID 834047531

    Phone: (208) 535-4470

    Fax: (208) 535-4476

    Type: Location

  • Eastern Idaho Regional Medical Center, 3100, Channing Way, Idaho Falls, Bonneville County, Idaho, 83404, United States

    IDAHO FALLS, ID 834047533

    Phone: (208) 535-4103

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Solventum Corporation ($43).

Total Amount

$59

General + Research + Ownership

Payments

2

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100202000734IPhysician AssistantIDTBD
I20240618003454IPhysician AssistantWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880582295View full group profile
NameSpecialtyState
Emergency MedicineWY
-WY
-WY
Physician AssistantWY
-WY
Certified Registered Nurse Anesthetist (Crna)WY
General SurgeryWY
Physician AssistantUT
General SurgeryID
Qualified AudiologistWY

Reviews

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Frequently asked questions

Does AUDREY J SCHAEFER (PA-C) have a public NPI I can cite?
Public records show AUDREY J SCHAEFER (PA-C) under NPI 1073847133.
Is AUDREY J SCHAEFER (PA-C)'s NPI status active today?
Active status means AUDREY J SCHAEFER (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say AUDREY J SCHAEFER (PA-C) does?
Insurance directories may phrase it differently, but here AUDREY J SCHAEFER (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit AUDREY J SCHAEFER (PA-C) in Idaho Falls, Idaho?
For routing, start with Idaho Falls, Idaho for AUDREY J SCHAEFER (PA-C), then verify phone and hours locally.
Who maintains AUDREY J SCHAEFER (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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