Individual provider Active NPI

Schelli O McCabe, DPM

  • Podiatrist
  • Saint Peter, MN
National Provider Identifier
1295720225
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
421 Issued in MN
Practice address
316 S 3Rd St
St Peter, MN 56082-2023
Phone
(507) 934-3102
Fax
(507) 934-8604
NPI assigned
Sep 15, 2005
Last updated
Jan 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 421 MN Primary

Addresses

Primary practice location

316 S 3Rd St
St Peter, MN 56082-2023

Mailing address

316 S 3Rd St
St Peter, MN 56082-2023
Phone (507) 934-3102

Other identifiers 1

IdentifierTypeStateIssuer
253725700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000083 MN Practitioner - Podiatry 2365495306 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
421MNMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Valley Health Center Inc CurrentSince Jan 6, 2025 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Foot & Ankle Clinic of St. Peter, Inc. Podiatrist CurrentSince Apr 1, 2002 Accepting new patients
Ridgeview Medical Center CurrentSince Jan 6, 2025 Accepting new patients
Minnesota Valley Health Center Inc Current Accepting new patients
Sibley Medical Center CurrentSince Jan 6, 2025 Accepting new patients
Ridgeview Medical Center CurrentSince Jan 6, 2025 Accepting new patients
Ridgeview Medical Center Past Accepting new patients

Locations

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375

316 S 3rd St
Saint Peter, MN 56082
Phone (507) 934-3102

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

560 S Maple St
Ste 400
Waconia, MN 55387
Phone (952) 442-3188

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1295720225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S 3RD ST",
            "city": "ST PETER",
            "state": "MN",
            "postal_code": "560822023",
            "telephone_number": "507-934-3102",
            "fax_number": "507-934-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S 3RD ST",
            "city": "ST PETER",
            "state": "MN",
            "postal_code": "560822023",
            "telephone_number": "507-934-3102",
            "fax_number": "507-934-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "SCHELLI",
        "middle_name": "O",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253725700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peter, MN

Sources for this page

Verify at the official NPI Registry.