Active NPI
Clay D Schulte, M.D.
- Emergency Medicine Physician
- Crosby, MN
National Provider Identifier
1336168905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 26305
- Practice address
- 318 E Main St
Crosby, MN 56441-1645 - Phone
- (218) 546-2502
- Fax
- (218) 546-4402
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 26305 | MN | Primary |
Addresses
Primary practice location
318 E Main St
Crosby, MN 56441-1645
Mailing address
318 E Main St
Crosby, MN 56441-1645
Phone (218) 546-2502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 503868500 | Medicaid | MN |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26305 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cuyuna Regional Medical Center | Current | Accepting new patients |
Locations
320 E Main St
Crosby, MN 56441
Phone (218) 546-7000
Organizations & group practices 2
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.
-
dba Longville Lakes Clinic
- Family Medicine Physician
- Longville, MN
- NPI 1861414518
-
- Critical Access Hospital
- Crosby, MN
- NPI 1538143896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1336168905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 E MAIN ST",
"city": "CROSBY",
"state": "MN",
"postal_code": "564411645",
"telephone_number": "218-546-2502",
"fax_number": "218-546-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 E MAIN ST",
"city": "CROSBY",
"state": "MN",
"postal_code": "564411645",
"telephone_number": "218-546-2502",
"fax_number": "218-546-4402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTE",
"first_name": "CLAY",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "26305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "503868500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crosby, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.