Individual provider Active NPI

Katlyn Michelle Schweder, CNP

  • Family Nurse Practitioner
  • Saint Peter, MN
National Provider Identifier
1669108882
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9726 Issued in MN
Practice address
1901 Old Minnesota Ave
Saint Peter, MN 56082-1763
Phone
(507) 934-2325
NPI assigned
Jul 29, 2022
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9726 MN Primary

Addresses

Primary practice location

1901 Old Minnesota Ave
Saint Peter, MN 56082-1763

Mailing address

1901 Old Minnesota Ave
Saint Peter, MN 56082-1763
Phone (507) 934-2325

Other names 1

  • Katlyn Michelle Mellies Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221219002185 MN Practitioner - Nurse Practitioner 9739558446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mankato Clinic LTDGroup PAC ID 5597677955, 243 clinicians

Practice addresses (Care Compare)

1230 Main St E
PO Box 8674
Mankato, MN 56002-8674
Phone (507) 625-1811

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9726MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mankato Clinic LTD CurrentSince Nov 15, 2022 Accepting new patients
Mankato Clinic LTD PastSince Jul 31, 2022 Accepting new patients

Locations

1901 Old Minnesota Ave
Saint Peter, MN 56082
Phone (507) 934-2325

Interoperability endpoints

  • Direct secure messaging: katlynschweder@mklt.allscriptsdirect.net

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1669108882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 OLD MINNESOTA AVE",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821763",
            "telephone_number": "507-934-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 OLD MINNESOTA AVE",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821763",
            "telephone_number": "507-934-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEDER",
        "first_name": "KATLYN",
        "middle_name": "MICHELLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLYN",
            "last_name": "MELLIES",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Peter, MN

Sources for this page

Verify at the official NPI Registry.