KAITLYN ALYSE SCHIMMOELLER (PA) – Physician Assistant, NPI 1033632997
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KAITLYN ALYSE SCHIMMOELLER (PA)
100 W Main St
Springfield, OH 455021312
Phone: (937) 521-3900
Type: Location
465 N Cleveland Ave
Westerville, OH 430828081
Phone: (614) 918-0030
Type: Location
139 Garau St
Bluffton, OH 458171027
Phone: (419) 358-9010
Type: Location
500 S Cleveland Ave
Westerville, OH 430818971
Phone: (380) 898-4000
Type: Location
7500 Hospital Dr
Dublin, OH 430168518
Phone: (614) 544-8000
Type: Location
1080 BEECHER XING N STE A
COLUMBUS, OH 432304577
Phone: (556) 876-2278
Type: Mailing
70, South Cleveland Avenue, Westerville, Sharon, Franklin, Ohio, 43081, United States
WESTERVILLE, OH 430811397
Phone: (614) 839-2115
Type: Mailing
1313, Olentangy River Road, Fifth by Northwest, Columbus, Franklin, Ohio, 43212, United States
COLUMBUS, OH 432123120
Phone: (614) 839-2115
Fax: (614) 839-2115
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $145.
Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.
Last reported payment date: 2024-08-12 • Largest payer in this snapshot: RTI SURGICAL, INC ($145).
Total Amount
$145
General + Research + Ownership
Payments
1
Total payment records
General Amount
$145
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| RTI SURGICAL, INC | $145 |
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: 2017-09-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170925000166 | I | Physician Assistant | OH | TBD |
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.
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 45502)
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Reviews
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