NPIMap

Individual provider Active NPI

Carla Schultz, M.D.

  • Internal Medicine Physician
  • Champlin, MN
National Provider Identifier
1003100595
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60574 Issued in MN
Practice address
11269 Jefferson Hwy N
Champlin, MN 55316-3123
Phone
(763) 236-0600
Fax
(763) 236-0790
NPI assigned
Jun 2, 2011
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 60574 MN Primary

Addresses

Primary practice location

11269 Jefferson Hwy N
Champlin, MN 55316-3123

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Other practice location 1

1001 Hart Blvd Ste 100
Monticello, MN 55362-8929
Phone (763) 295-2921

Other practice location 2

1700 Highway 25 N
Buffalo, MN 55313-1930
Phone (763) 682-1313

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cschultz191824@direct.northmemorial.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160609001507 MN Practitioner - Internal Medicine 7517257157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Minnesota Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

11269 Jefferson Hwy N
Champlin, MN 55316-3123
Phone (763) 236-0600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60574MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin County CurrentSince Dec 15, 2017 Accepting new patients
Allina Health System CurrentSince Jul 1, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Jul 1, 2024 Accepting new patients
Hennepin County CurrentSince Dec 15, 2017 Accepting new patients
Allina Health System Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

11269 Jefferson Hwy N
Champlin, MN 55316
Phone (763) 236-0600

1700 Highway 25 N
Hanover, MN 55313
Phone (763) 682-1313

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

701 Park Ave
#350
Minneapolis, MN 55415
Phone (612) 873-5334

2215 E Lake St
Minneapolis, MN 55407
Phone (612) 596-0900

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

Interoperability endpoints

  • Direct secure messaging: cschultz191824@direct.northmemorial.com
  • Direct secure messaging: cschultz614223@excellian.direct.allina.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1003100595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11269 JEFFERSON HWY N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163123",
            "telephone_number": "763-236-0600",
            "fax_number": "763-236-0790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Hart Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "MN",
            "postal_code": "553628929",
            "country_code": "US",
            "telephone_number": "763-295-2921",
            "fax_number": "763-581-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Highway 25 N",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553131930",
            "country_code": "US",
            "telephone_number": "763-682-1313",
            "fax_number": "763-581-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "CARLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "60574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cschultz191824@direct.northmemorial.com",
            "affiliation": "N",
            "address_1": "1001 Hart Blvd Ste 100",
            "city": "Monticello",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553628929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Champlin, MN

Sources for this page

Verify at the official NPI Registry.