Individual provider Active NPI

Monica Jean Schugel, D.C.

  • Chiropractor
  • North Mankato, MN
National Provider Identifier
1780680249
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4317 Issued in MN
Practice address
1706 Lor Ray Dr
North Mankato, MN 56003-1939
Phone
(507) 385-1015
Fax
(507) 388-8001
NPI assigned
Jun 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4317 MN Primary

Addresses

Primary practice location

1706 Lor Ray Dr
North Mankato, MN 56003-1939

Mailing address

1706 Lor Ray Dr
North Mankato, MN 56003-1939
Phone (507) 385-1015

Other identifiers 6

IdentifierTypeStateIssuer
6167123OtherMNSTATE TAX ID #
651095OtherMNCHIRO CARE #
044L5SCOtherMNBC/BS GROUP #
044L6SCOtherMNBC/BS INDIVIDUAL #
74-3067606OtherMNFED. TAX ID#
560065100OtherMNMN CARE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111115000328 MN Practitioner - Chiropractic 4880868587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

816 A S Front St
Mankato, MN 56001-2401
Phone (507) 385-1015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4317MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Schugel Family Chiropractic, P.a. Chiropractor CurrentSince Mar 1, 2003 Accepting new patients

Locations

816A S Front St
Mankato, MN 56001
Phone (507) 351-5739

1706 Lor Ray Dr
North Mankato, MN 56003
Phone (507) 385-1015

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1780680249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 LOR RAY DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031939",
            "telephone_number": "507-385-1015",
            "fax_number": "507-388-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 LOR RAY DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031939",
            "telephone_number": "507-385-1015",
            "fax_number": "507-388-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUGEL",
        "first_name": "MONICA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TAX ID #",
            "identifier": "6167123",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIRO CARE #",
            "identifier": "651095",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP #",
            "identifier": "044L5SC",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDIVIDUAL #",
            "identifier": "044L6SC",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED. TAX ID#",
            "identifier": "74-3067606",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN CARE #",
            "identifier": "560065100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.

Verify at the official NPI Registry.