Active NPI
Schwieters Medical PLLC
- Psychiatry Physician
- Eagan, MN
National Provider Identifier
1548486590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 48212
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174922000 | Medicaid | MN | |
| 134D5SC | Other | MN | BCBS MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2083870 | Schwieters Medical, PLLC | Certificate of waiver | Sep 14, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Eagan, MN
- NPI 1598227977
-
- Psychiatry Physician
- Eagan, MN
- NPI 1841243631
-
- Psychiatric/Mental Health Nurse Practitioner
- Eagan, MN
- NPI 1639782626
-
- Psychiatry Physician
- Minneapolis, MN
- NPI 1912041278
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.