Kristie M Schmidt, D.C.
Individual provider Active NPI Chiropractor · Le Roy, MN
NPI 1922098078 · NPPES record last updated Aug 26, 2013
Key facts
- NPI
- 1922098078
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4480 (MN)
- Practice address
- 111 W Main St
Le Roy, MN 55951-6709 - Phone
- (507) 324-9355
- NPI assigned
- Oct 28, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 W Main St
Leroy, MN 55951-6709
Phone (507) 324-9355
PO Box
Suite 547
Le Roy, MN 55951-0547
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040624001029 | MN | Practitioner - Chiropractic | 9436149622 | Practice locations: Leroy, MN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4480 | MN | Yes |
| Chiropractor | 111N00000X | 06555 | IA |
Addresses
Primary practice location
111 W Main St
Le Roy, MN 55951-6709
Mailing address
PO Box 547
Le Roy, MN 55951-0547
Phone (507) 324-9355
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680278800 | Medicaid | MN |
Other providers in Le Roy, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2013. 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.
- 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.