Karissa Marie Schultz, APRN, CNP
Individual provider Active NPI Adult Health Nurse Practitioner · Deer River, MN
NPI 1902258502 · NPPES record last updated Apr 16, 2020
Key facts
- NPI
- 1902258502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 4700 (MN)
- Practice address
- 115 10TH Avenue NE Suite a
Essentia Health Deer River Clinic
Deer River, MN 56636-8795 - Phone
- (218) 246-8275
- Fax
- (218) 246-8279
- NPI assigned
- Jul 7, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deer River Healthcare Center Inc
Practice addresses (Care Compare)
115 10TH Ave NE
Deer River, MN 56636-8795
Hospital & facility affiliations
- Aveanna Home Health
- Essentia Health Deer River
- Grand Itasca Clinic and Hospital
- Essentia Health St Mary'S Medical Center
- Grand Village
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171019000270 | MN | Practitioner - Nurse Practitioner | 4789977562 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2366124 | MN | MD | Adult Health Nurse Practitioner |
| 4700 | MN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic LTD | Current |
Accepting new patients | |
| Deer River Healthcare Center, Inc. | Current | Accepting new patients | |
| Deer River Healthcare Center, Inc. | Current |
Accepting new patients | |
| Deer River Healthcare Center Inc | Current |
Accepting new patients | |
| The Duluth Clinic, LTD. | Current |
Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Deer River Healthcare Center, Inc | Past | Accepting new patients |
Locations
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
#2
Duluth, MN 55805
Phone (218) 786-8319
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2366124 | MN | |
| Primary Care Nurse Practitioner | 363LP2300X | R37224 | ND | |
| Adult Health Nurse Practitioner | 363LA2200X | 4700 | MN | Yes |
| Nurse Practitioner | 363L00000X | R37224 | ND |
Addresses
Primary practice location
115 10TH Avenue NE Suite a
Essentia Health Deer River Clinic
Deer River, MN 56636-8795
Mailing address
Essentia Health Duluth Clinic MSS 6Av1-Pe
400 East Third Street
Duluth, MN 55805-1951
Phone (218) 786-1183
Other providers in Deer River, MN
- Kelsey Peterson
- Steven M Pitschka
- Jessie Lynn Redding
- Desiree Anne Rohling
- Tessa Marie Sackett
- Ashley Ann Seedorf
- Camryn Jo Selisker
- Jeffrey Thomas Sheetz
- Kate Helen Shirkey
- Sonder Chiropractic, P.a.
All providers in Deer River, MN · Adult Health Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.