KAYLA LYNN SHATTUCK PA-C
NPI 1629449483
Physician Assistant in Seneca, SC

Active since October 19, 2015PECOS EnrolledAccepts Medicare Assignment
100 OMNI DR STE B, SENECA, SC 29672(864) 886-9250(864) 886-9251 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kayla Lynn Shattuck Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLA LYNN SHATTUCK PA-C (NPI 1629449483) is an individual physician assistant in Seneca, South Carolina, licensed in South Carolina (4398) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629449483
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAYLA LYNN SHATTUCKCredential: PA-C
Location Address100 OMNI DR STE BSeneca, SC 29672-9448
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Fax(864) 886-9251
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 19, 2015
Last NPPES UpdateAugust 21, 2023
NPPES CertifiedAugust 21, 2023
NPI 1629449483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SC · 4398
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 OMNI DR STE B, Seneca, SC 29672

Other Names 1

Former Name (1)Kayla Lynn Mizgala Pa-c

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kayla Lynn Shattuck Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789985490
PECOS Enrollment IDI20230907004279
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420009
Location298 Memorial DrSeneca, SC 29672 · Oconee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29672 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
100 OMNI DR STE B
SENECA, SC 29672
Surgery
100 OMNI DR STE B
SENECA, SC 29672
Nurse Practitioner (Family)
100 OMNI DR STE B
SENECA, SC 29672
Surgery
100 OMNI DR STE B
SENECA, SC 29672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kayla Shattuck's NPI number?

The NPI number for Kayla Shattuck is 1629449483. It was assigned to this individual provider in the NPPES registry on October 19, 2015. The provider is also known as Kayla Lynn Mizgala Pa-C.

Where is Kayla Shattuck located?

Kayla Shattuck practices at 100 Omni Dr Ste B, Seneca, SC 29672. The listed phone number is (864) 886-9250.

What is Kayla Shattuck's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kayla Shattuck enrolled in Medicare?

Yes. Kayla Shattuck is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kayla Shattuck accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Kayla Shattuck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kayla Shattuck affiliated with any hospitals?

According to CMS data, Kayla Shattuck is affiliated with Prisma Health Oconee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kayla Shattuck was last updated on August 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.