NPIMap

Individual provider Active NPI

Shiela Klemmetsen, M.D.

  • Family Medicine Physician
  • Baxter, MN
National Provider Identifier
1033555867
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0054133 Issued in CO
Practice address
Essentia Health St. Joseph'S-Baxter Clinic
13060 Isle Drive
Baxter, MN 56425
Phone
(218) 828-2880
NPI assigned
May 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0054133 CO Primary

Addresses

Primary practice location

Essentia Health St. Joseph'S-Baxter Clinic
13060 Isle Drive
Baxter, MN 56425

Mailing address

PO Box 10700
Grand Junction, CO 81502-5517
Phone (970) 245-1220

Other practice location 1

3150 N 12th St
Grand Junction, CO 81506-2863
Phone (970) 245-1220

Other identifiers 1

IdentifierTypeStateIssuer
71720103MedicaidCO

Other names 1

  • Shiela Stegora Former name

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
I20171109003471 MN Practitioner - Family Practice 2466751250 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Medical CenterGroup PAC ID 8224948443, 238 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

13060 Isle Dr
Baxter, MN 56425-8331
Phone (218) 828-2880

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph'S Medical Center CurrentSince Oct 30, 2017 Accepting new patients
Brainerd Medical Center Inc CurrentSince Sep 3, 2018 Accepting new patients
The Duluth Clinic LTD CurrentSince Dec 29, 2025 Accepting new patients
St. Joseph'S Medical Center Current Accepting new patients
St. Joseph'S Medical Center CurrentSince Oct 30, 2017 Accepting new patients
Brainerd Medical Center Inc. CurrentSince Sep 3, 2018 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Dec 29, 2025 Accepting new patients

Locations

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

280 Barclay Ave W
Pine River, MN 56474
Phone (218) 587-3222

Organizations & group practices 8

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

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033555867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10700",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815025517",
            "telephone_number": "970-245-1220",
            "fax_number": "970-245-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ESSENTIA HEALTH ST. JOSEPH'S-BAXTER CLINIC",
            "address_2": "13060 ISLE DRIVE",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "56425",
            "telephone_number": "218-828-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815062863",
            "country_code": "US",
            "telephone_number": "970-245-1220",
            "fax_number": "970-245-9148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEMMETSEN",
        "first_name": "SHIELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0054133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71720103",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIELA",
            "last_name": "STEGORA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baxter, MN

Sources for this page

Verify at the official NPI Registry.