Individual provider Active NPI

Kristel Rae Schamber, OD

  • Optometrist
  • Baxter, MN
National Provider Identifier
1932210143
Registry record updated Jun 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2989 Issued in MN
Practice address
7734 Excelsior Rd
Baxter, MN 56425-8696
Phone
(218) 829-2929
Fax
(218) 829-4747
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2989 MN Primary

Addresses

Primary practice location

7734 Excelsior Rd
Baxter, MN 56425-8696

Mailing address

7734 Excelsior Rd
Baxter, MN 56425-8696
Phone (218) 829-2929

Other identifiers 3

IdentifierTypeStateIssuer
2202788OtherMNMEDICA
325K7TAOtherMNBCBS
308606200MedicaidMN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050131000097 MN Practitioner - Optometry 6406806132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schamber Eye Care PAGroup PAC ID 3274750971, 2 clinicians

Practice addresses (Care Compare)

7734 Excelsior Rd
Baxter, MN 56425-8697
Phone (218) 829-2929

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schamber Eye Care, P.a. CurrentSince Jun 19, 2014 Accepting new patients
Lakes Area Eyecare, Inc. Optometrist Past Accepting new patients

Locations

7734 Excelsior Rd
Baxter, MN 56425
Phone (218) 829-2929

7734 Excelsior Rd
Ste 101
Baxter, MN 56425
Phone (218) 829-2929

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402185600000",
    "number": "1932210143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7734 EXCELSIOR RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258696",
            "telephone_number": "218-829-2929",
            "fax_number": "218-829-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7734 EXCELSIOR RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258696",
            "telephone_number": "218-829-2929",
            "fax_number": "218-829-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAMBER",
        "first_name": "KRISTEL",
        "middle_name": "RAE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2202788",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "325K7TA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308606200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

Verify at the official NPI Registry.