NPIMap

Individual provider Active NPI

Kelsey May Schultz, M.D.

  • Family Medicine Physician
  • Two Harbors, MN
National Provider Identifier
1578827150
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
59248 Issued in MN
Practice address
325 11TH Ave
Two Harbors, MN 55616-1300
Phone
(218) 834-7727
Fax
(218) 834-7727
NPI assigned
Jun 28, 2012
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 59248 MN Primary

Addresses

Primary practice location

325 11TH Ave
Two Harbors, MN 55616-1300

Mailing address

325 11TH Ave
Two Harbors, MN 55616-1300
Phone (218) 834-7727

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@lkv.direct.slhduluth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150728006482 MN Practitioner - Family Practice 8123262037 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Luke's Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians

Practice addresses (Care Compare)

325 11TH Ave
Two Harbors, MN 55616-1300
Phone (218) 834-7300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59248MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake View Memorial Hospital, Inc Current Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Apr 1, 2025 Accepting new patients
Lake View Memorial Hospital, Inc Family Medicine CurrentSince Aug 18, 2015 Accepting new patients
St. Luke's Hospital of Duluth Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
Lake View Memorial Hospital, Inc. CurrentSince Aug 18, 2015 Accepting new patients
St. Luke's Hospital of Duluth Family Medicine Past Accepting new patients
The Waterview Shores LLC Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

1010 4th St
Two Harbors, MN 55616
Phone (218) 724-3083

325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520

Interoperability endpoints

  • Direct secure messaging: kschultz237573@direct.aspirus.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aspirus Lake View HospitalTwo Harbors, MN, CCN 241308 Hospital Corporate Officer Apr 23, 2023
Aspirus Lake View HospitalTwo Harbors, MN, CCN 24Z308 Hospital Corporate Director Apr 23, 2023

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 33

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1578827150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 11TH AVE",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161300",
            "telephone_number": "218-834-7727",
            "fax_number": "218-834-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 11TH AVE",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161300",
            "telephone_number": "218-834-7727",
            "fax_number": "218-834-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "KELSEY",
        "middle_name": "MAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "59248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@lkv.direct.slhduluth.com",
            "affiliation": "N",
            "address_1": "1010 4th St",
            "city": "Two Harbors",
            "state": "MN",
            "country_code": "US",
            "postal_code": "556161200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Two Harbors, MN

Sources for this page

Verify at the official NPI Registry.