Organization Active NPI

Schwieters Medical PLLC

  • Psychiatry Physician
  • Eagan, MN
National Provider Identifier
1548486590
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
48212 Issued in MN
Legal business name
SCHWIETERS MEDICAL PLLC
Practice address
2781 Pilot Knob Rd
Eagan, MN 55121-1119
Phone
(651) 289-7300
Fax
(651) 289-7301
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Carol Schwieters
Title
Assistant
Phone
(651) 289-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 48212 MN Primary

Addresses

Primary practice location

2781 Pilot Knob Rd
Eagan, MN 55121-1119

Mailing address

2781 Pilot Knob Rd
Eagan, MN 55121-1119
Phone (651) 289-7300

Other identifiers 2

IdentifierTypeStateIssuer
174922000MedicaidMN
134D5SCOtherMNBCBS MN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070621000096 MN Part B Supplier - Clinic/Group Practice 5193824803 Receives reassigned benefits from 2 practitioners
Practice locations: Eagan, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2083870Schwieters Medical, PLLC2781 Pilot Knob Road, Eagan, MN 55121Certificate of waiverSep 14, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1548486590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 PILOT KNOB RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211119",
            "telephone_number": "651-289-7300",
            "fax_number": "651-289-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 PILOT KNOB RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211119",
            "telephone_number": "651-289-7300",
            "fax_number": "651-289-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHWIETERS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "SCHWIETERS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "651-289-7300"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "48212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174922000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "134D5SC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.