Individual provider Active NPI

Corey Brandon Schuler, CNP, RN, LN

  • Family Nurse Practitioner
  • White Bear Lake, MN
National Provider Identifier
1669662912
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8207 Issued in MN
Practice address
4422 White Bear Ave N
White Bear Lake, MN 55110-3475
Phone
(651) 287-8780
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5047 WI
Chiropractor 111N00000X 5008 MN
Nutritionist 133N00000X N200 MN
Registered Nurse 163W00000X 2377210 MN
Family Nurse Practitioner 363LF0000X 8207 MN Primary

Addresses

Primary practice location

4422 White Bear Ave N
White Bear Lake, MN 55110-3475

Mailing address

6799 Jensen Ave S
Cottage Grove, MN 55016-5244
Phone (651) 358-0445

Other practice location 1

1830 Webster St
130
Hudson, WI 54016-9320
Phone (715) 381-9680

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
I20210617001854 MN Practitioner - Nurse Practitioner 9830283423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Family Physicians PAGroup PAC ID 2466631593, 6 clinicians

Practice addresses (Care Compare)

4422 White Bear Ave
White Bear Lake, MN 55110-3475

4422 White Bear Ave N
White Bear Lake, MN 55110-3475
Phone (651) 287-8780

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N200MNMDNutritionist
2377210MNMDRegistered Nurse
8207MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Essence Chiropractic & Health PLLC Chiropractor PastSince Feb 19, 2011 Accepting new patients
McGregor Chiropractic PC Chiropractor PastSince Jan 1, 2007 Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1669662912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6799 JENSEN AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550165244",
            "telephone_number": "651-358-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 WHITE BEAR AVE N",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103475",
            "telephone_number": "651-287-8780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 Webster St",
            "address_2": "130",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540169320",
            "country_code": "US",
            "telephone_number": "715-381-9680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULER",
        "first_name": "COREY",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "CNP, RN, LN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5047",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5008",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MN",
            "license": "N200",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2377210",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

Verify at the official NPI Registry.