NPIMap

Individual provider Active NPI

Robert Loren Sheckler III

  • Foot & Ankle Surgery Podiatrist
  • Virginia, MN
National Provider Identifier
1861021032
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1196 Issued in MN
Practice address
1101 9TH St N
Virginia, MN 55792-2329
Phone
(218) 305-0000
NPI assigned
Apr 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1196 MN Primary

Addresses

Primary practice location

1101 9TH St N
Virginia, MN 55792-2329

Mailing address

1101 9TH St N
Virginia, MN 55792-2329

Other names 1

  • Robert Loren Sheckler Other name

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
I20241021001061 MN Practitioner - Podiatry 5496116444 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
Essentia Health Virginia LLCGroup PAC ID 7810149002, 64 clinicians

Practice addresses (Care Compare)

1101 9TH St N
Virginia, MN 55792-2329
Phone (218) 741-0150

2501 Keenan Dr
International Falls, MN 56649-2181
Phone (218) 283-9431

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
59.91
Promoting interoperability
99
Improvement activities
40
Cost
80.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of skin lesions1-10
Removal of nail tissue149
Removal or shaving of skin growth36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1196MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Essentia Health Virginia, LLC CurrentSince Oct 7, 2024 Accepting new patients
Deer River Healthcare Center, Inc. Current Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Deer River Healthcare Center, Inc CurrentSince Oct 7, 2024 Accepting new patients
Northern Pines Medical Center CurrentSince Oct 7, 2024 Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
Northern Pines Medical Center CurrentSince Jan 1, 2026 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Oct 7, 2024 Accepting new patients
Essentia Health Virginia, LLC CurrentSince Oct 7, 2024 Accepting new patients
The Duluth Clinic LTD CurrentSince Oct 7, 2024 Accepting new patients

Locations

5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

730 E 34th St
Hibbing, MN 55746
Phone (218) 262-3425

2501 Keenan Dr
Intl Falls, MN 56649
Phone (218) 283-4481

901 9th St N
Virginia, MN 55792
Phone (218) 741-3340

1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000

603 9th St N
Virginia, MN 55792
Phone (218) 741-3013

Organizations & group practices 10

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 6

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1861021032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 9TH ST N",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 9TH ST N",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922329",
            "telephone_number": "218-305-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHECKLER",
        "first_name": "ROBERT",
        "middle_name": "LOREN",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "1196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "SHECKLER",
            "middle_name": "LOREN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia, MN

Sources for this page

Verify at the official NPI Registry.