Kaitlyn Rose Schoeck, MD
Individual provider Active NPI Family Medicine Physician · Staples, MN
NPI 1972913119 · NPPES record last updated Feb 26, 2024
Key facts
- NPI
- 1972913119
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 59528 (MN)
- Practice address
- 49725 County 83
Staples, MN 56479-5280 - Phone
- (218) 894-1515
- NPI assigned
- Apr 28, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakewood Health System
Practice addresses (Care Compare)
49725 County
Suite 83
Staples, MN 56479-5280
Phone (218) 894-1515
Hospital & facility affiliations
- Lakewood Health System
- Lakewood Health System
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: Yes
All facility ownership & control disclosures 10
| Facility | Type | Role | Since |
|---|---|---|---|
| Lakewood Health System |
Hospital | Corporate Director | Aug 7, 2017 |
| Lakewood Health System |
Hospital | Corporate Director | Aug 7, 2017 |
| Lakewood Health System |
Skilled nursing facility | Corporate Director | Aug 7, 2017 |
| Lakewood Health System Home Care and Hospice |
Home health agency | Corporate Director | Aug 7, 2017 |
| Lakewood Health System |
Hospice | Corporate Director | Aug 7, 2017 |
| Lakewood Health System Browerville |
Rural health clinic | Corporate Director | Aug 7, 2017 |
| Lakewood Clinic |
Rural health clinic | Corporate Director | Aug 7, 2017 |
| Lakewood Clinic-Browerville |
Rural health clinic | Corporate Director | Aug 7, 2017 |
| Lakewood Clinic-Motley |
Rural health clinic | Corporate Director | Aug 7, 2017 |
| Lakewood Clinic-Pillager |
Rural health clinic | Corporate Director | Aug 7, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150723008863 | MN | Practitioner - Family Practice | 4385957042 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Health System | Current |
Accepting new patients | |
| Lakewood Health System | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current |
Accepting new patients | |
| Lakewood Health System | Current | Accepting new patients | |
| Lakewood Health System | Current |
Accepting new patients |
Locations
720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
653 Pillsbury St N
Ste 1
Pillager, MN 56473
Phone (218) 746-4550
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
49725 County 83
Staples, MN 56479
Phone (218) 894-1033
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Interoperability endpoints
- kschoeck625578@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 59528 | MN | Yes |
Addresses
Primary practice location
49725 County 83
Staples, MN 56479-5280
Mailing address
49725 County 83
Staples, MN 56479-5280
Phone (218) 894-1515
Other names
- Kaitlyn Rose Pelowski
Other providers in Staples, MN
- Tanner David Roberts
- Craig Thomas Roelke
- Nichole Ann Roiko
- Izaak P Schafer
- David Conrad Schleichert
- Seasons Adult Foster Care
- Pamela Elizabeth Seipkes
- Annalise Shippee
- Ryan Skoog
- Lisa Mary Smeby
All providers in Staples, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2024. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.