Healthcare Provider Details

I. General information

NPI: 1225489644
Provider Name (Legal Business Name): CHELSEA E SCHUMMER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA E HANERT

II. Dates (important events)

Enumeration Date: 06/27/2016
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W429 PORTAGE ST
SAINT IGNACE MI
49781-1476
US

IV. Provider business mailing address

PO BOX 932
SAINT IGNACE MI
49781-0932
US

V. Phone/Fax

Practice location:
  • Phone: 906-643-8500
  • Fax: 906-984-6033
Mailing address:
  • Phone: 906-287-0826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number3765-23
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number3765-23
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601010797
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3765-23
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: