Individual provider Active NPI

Scott Lee Schulz, D.C.

  • Chiropractor
  • Hastings, NE
National Provider Identifier
1336189489
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0978 Issued in NE
Practice address
235 N Saint Joseph Ave
Hastings, NE 68901-7555
Phone
(402) 463-3363
Fax
(402) 463-3013
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0978 NE Primary

Addresses

Primary practice location

235 N Saint Joseph Ave
Hastings, NE 68901-7555

Mailing address

235 N Saint Joseph Ave
Hastings, NE 68901-7555
Phone (402) 463-3363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140115001047 MN Practitioner - Chiropractic 3173575123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Big Lake Spine and Sport PAGroup PAC ID 3971524182, 2 clinicians

Practice addresses (Care Compare)

1260 Hwy 25 S
Monticello, MN 55362-8921
Phone (763) 260-8401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0978NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Big Lake Spine & Sport, PA Chiropractor CurrentSince Dec 27, 2013 Accepting new patients
Integrated Care Clinics, PA CurrentSince Jul 22, 2015 Accepting new patients
Schulz Chiropractic & Acupuncture, LLC Chiropractor PastSince Jan 1, 2005 Accepting new patients

Locations

1260 Highway 25 S
Monticello, MN 55362
Phone (763) 260-8401

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1336189489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N SAINT JOSEPH AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689017555",
            "telephone_number": "402-463-3363",
            "fax_number": "402-463-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N SAINT JOSEPH AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689017555",
            "telephone_number": "402-463-3363",
            "fax_number": "402-463-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "SCOTT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "0978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.