Michele Schuberg

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CNP3710 Issued in MN

Practice address

1805 Hennepin Ave N
Glencoe, MN 55336-1416

Phone

(320) 864-7882

Fax

(320) 864-7192

NPI assigned

May 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glencoe Regional Health ServicesGroup PAC ID 1759292980, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ridgeview Hospice Hospice, Waconia, MN, CCN 241567
• Glencoe Regional Health Hospital, Glencoe, MN, CCN 241355

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mschuberg313572@excellian.direct.allina.com

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.

• Glencoe Regional Health Services

  • Critical Access Hospital
  • Glencoe, MN
  • NPI 1508885633
  Medicare reassignment Care Compare group NPD
• Glencoe Regional Health Services

  • Durable Medical Equipment & Medical Supplies
  • Glencoe, MN
  • NPI 1518074632
  NPD

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

• Glencoe Regional Health Services

  • Critical Access Hospital
  • Glencoe, MN
  • NPI 1508885633
  Care Compare affiliation
• Ridgeview Medical Center

  • Community Based Hospice Care Agency
  • Waconia, MN
  • NPI 1013045350
  Care Compare affiliation

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

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1619357167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 HENNEPIN AVE N",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553361416",
            "telephone_number": "651-270-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 HENNEPIN AVE N",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553361416",
            "telephone_number": "320-864-7882",
            "fax_number": "320-864-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUBERG",
        "first_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-30",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "CNP3710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mschuberg313572@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "1805 Hennepin Ave N",
            "city": "Glencoe",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553361416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Elizabeth Sauter, PT
• Amie C Scantlin, DPM
• Andrea Scherer, D.C.
• Jessica Catherine Schlager
• Nina Suzann Schmidt
• Rachel Marie Senske
• Linda Senst, BA
• Marty Sherman, LADC
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co LLC

• Nurse Practitioner in Glencoe, MN
• Providers in Glencoe, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.

Verify at the official NPI Registry.