Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlin M Schupp, PA

Individual provider Medical Physician Assistant · NPI 1255616124

Kaitlin M Schupp, PA is a Physician Assistant in Gahanna, Ohio. Qualified in 2011, 15 years ago. Practices with Northeast Dermatology and Cosmetic Surgery Center, a 6-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

925 N Hamilton Rd
Gahanna, OH 43230-8708
Phone: (614) 473-9519
Fax: (614) 473-9543
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50.003369 (OH)

Record details

NPI number1255616124
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 11, 2011
Last updated in NPPESAugust 26, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Northeast Dermatology And Cosmetic Surgery Center — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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