SARTELL PEDIATRICS, P.A.
NPI 1215203898
Pediatrics in Sartell, MN
NPI Status: Active since March 28, 2012
Contact Information
111 2ND ST S
SARTELL, MN
ZIP 56377
Phone: (320) 281-3339
Fax: (320) 200-7505
- Organization
- Pediatrics
- Accepts Insurance
- CLIA Number: 24D2047970
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-28-2027
About SARTELL PEDIATRICS, P.A.
This page provides the complete NPI Profile along with additional information for Sartell Pediatrics, P.a., a pediatrician established in Sartell, Minnesota operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1215203898 assigned on March 2012. The practitioner's primary taxonomy code is 208000000X with license number 47571 (MN). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. David Lucas Smith M.d. (Owner)
- NPI
- 1215203898
- Provider Name
- SARTELL PEDIATRICS, P.A.
- Entity Type
- Organization
- Location Address
- 111 2ND ST S SARTELL, MN 56377
- Location Phone
- (320) 281-3339
- Location Fax
- (320) 200-7505
- Mailing Address
- 111 2ND ST S SARTELL, MN 56377
- Mailing Phone
- (320) 281-3339
- Mailing Fax
- (320) 200-7505
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-28-2012
- Last Update Date
- 08-09-2021
- Code Navigator
A pediatrician like Sartell Pediatrics, P.a. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 47571
- License State
- MN
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2047970
- Facility Type
- Physician Office
- Certificate Effective Date
- April 29, 2025
- Certificate Expiration Date
- April 28, 2027
- Laboratory Director
- JUNELL M. PETERSEN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Sartell Pediatrics, P.a. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 2 | 0 | 3 | 8 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 4 | 0 | 6 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 4 + 0 + 6 + 8 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1215203898 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780951772 | CHRISTINE MARIE LUND PNP Individual | Nurse Practitioner (Pediatrics) | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1063827236 | EMILY KORMAN D.O. Individual | Pediatrics | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1265003610 | HEIDI JO WEBSTER Individual | Speech-Language Pathologist | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1871619718 | DR. MAGGIE CLARE HAPPE PSYD, LP Individual | Psychologist (Clinical) | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1235133729 | KELLY ANN WOODS CPNP/FPNP Individual | Nurse Practitioner (Pediatrics) | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1245819564 | KATELIN STOMMES OTR/L Individual | Occupational Therapist | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1346332202 | BARBARA ANN MERGEN CNP Individual | Nurse Practitioner | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1528404258 | CHRISTINE ROSE HOLLENKAMP CPNP, MAN, RN Individual | Nurse Practitioner (Pediatrics) | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1720016124 | DAVID SMITH M.D. Individual | Pediatrics | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1790366334 | NICOLE AKERSON OTR/L Individual | Occupational Therapist | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1841939642 | ALYSON LAIDLAW MS, LMFT Individual | Marriage & Family Therapist | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
| 1992242648 | MRS. SARAH LEEVIE MARSTEIN RN, MSN, CPNP Individual | Nurse Practitioner (Pediatrics) | 111 2ND ST S SARTELL, MN 56377 (320) 281-3339 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215203898, enumerated in the NPI registry as an "organization" on March 28, 2012
The provider is located at 111 2nd St S Sartell, Mn 56377 and the phone number is (320) 281-3339
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: HealthPartners, Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 24D2047970 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on March 28, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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