MEGAN LEIGH SCHMITT M.D.
NPI 1619293834
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

NPI Status: Active since April 13, 2010

Contact Information

420 DELAWARE ST SE
OB/GYN MMC #395 ROOM 12-190 MOOS TOWER
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-6628
Fax: (612) 626-0665

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  • Individual
  • Female
  • Years of Experience 16
  • Student in an Organized Health Care Educ...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MEGAN SCHMITT

This page provides the complete NPI Profile along with additional information for Megan Schmitt, a primary care provider established in Minneapolis, Minnesota with a medical specialization in Student In An Organized Health Care Education/training Program and more than 16 years of experience. She graduated from Medical College Of Wisconsin in 2010. The healthcare provider is registered in the NPI registry with number 1619293834 assigned on April 2010. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1619293834
Provider Name
MEGAN LEIGH SCHMITT M.D.
Gender
Female
Entity Type
Individual
Location Address
420 DELAWARE ST SE OB/GYN MMC #395 ROOM 12-190 MOOS TOWER MINNEAPOLIS, MN 55455
Location Phone
(612) 626-6628
Location Fax
(612) 626-0665
Mailing Address
420 DELAWARE ST SE OB/GYN MMC #395 ROOM 12-190 MOOS TOWER MINNEAPOLIS, MN 55455
Mailing Phone
(612) 626-6628
Mailing Fax
(612) 626-0665
Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Graduation Year
2010
Is Sole Proprietor?
Yes
Enumeration Date
04-13-2010
Last Update Date
04-13-2010
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A primary care provider (PCP) like Megan Schmitt sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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 HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Megan Schmitt is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Megan Schmitt is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2961623673

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20141022001309

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Megan Schmitt is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PARK NICOLLET METHODIST HOSPITAL6500 EXCELSIOR BLVD
SAINT LOUIS PARK, MN 55426
(952) 993-5000Acute Care Hospitals

Reviews for MEGAN LEIGH SCHMITT M.D.

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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.
1619293834
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
262949686
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 4 + 9 + 6 + 8 + 6 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1619293834 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154319085MS. JESSICA S GREENBERG M.S.
Individual
Genetic Counselor, MS420 DELAWARE ST SE MMC 484
MINNEAPOLIS, MN 55455
(952) 924-8053
1023090792MS. BONNIE SUSAN LEROY MS, CGC
Individual
Genetic Counselor, MS420 DELAWARE ST SE MMC 485, UNIVERSITY OF MINNESOTA
MINNEAPOLIS, MN 55455
(612) 624-7193
1891770756 RONALD A FURNIVAL MD
Individual
Pediatrics420 DELAWARE ST SE MMC 814 MAYO
MINNEAPOLIS, MN 55455
(763) 516-4346
1013995356DR. WINSTON P CAVERT MD
Individual
Internal Medicine (Infectious Disease)420 DELAWARE ST SE MMC 88
MINNEAPOLIS, MN 55455
(612) 624-9130
1912985003MS. JOLINE CHRISTINE DALTON M.S.
Individual
Genetic Counselor, MS420 DELAWARE ST SE MMC 206
MINNEAPOLIS, MN 55455
(612) 625-7967
1689653420MR. MATTHEW AARON BOWER M.S., C.G.C.
Individual
Genetic Counselor, MS420 DELAWARE ST SE MMC 485
MINNEAPOLIS, MN 55455
(612) 624-8948
1922088632MS. CINDY PHAM LORENTZ M.S.
Individual
Genetic Counselor, MS420 DELAWARE ST SE MMC 485
MINNEAPOLIS, MN 55455
(612) 624-6467
1851363717 M UMAR HASAN CHOUDRY M.D.
Individual
Plastic Surgery420 DELAWARE ST SE MMC 122
MINNEAPOLIS, MN 55455
(612) 625-0697
1811969785 MARK R GAVIN M.D.
Individual
Internal Medicine420 DELAWARE ST SE MMC 480
MINNEAPOLIS, MN 55455
(612) 624-0123
1962476507DR. WILLIAM KENNEDY M.D.
Individual
Specialist420 DELAWARE ST SE MMC 185
MINNEAPOLIS, MN 55455
(612) 625-1431
1225003817MR. JOSHUA D JANISCH CRNA
Individual
Nurse Anesthetist, Certified Registered420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
(612) 626-3000
1386619971MR. DENNIS WARDELL MELTZER CRNA
Individual
Nurse Anesthetist, Certified Registered420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
(612) 626-3000
1376518969MR. RICHARD J HILL CRNA
Individual
Nurse Anesthetist, Certified Registered420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
(612) 626-3000
1891760799 HEIDI JO GREENWALDT MS, RD, LD, CNSD
Individual
Dietitian, Registered420 DELAWARE ST SE MMC 84
MINNEAPOLIS, MN 55455
(612) 273-3216
1710953054 PAMELA A LARSON CRNA
Individual
Nurse Anesthetist, Certified Registered420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
(612) 626-3000
1174590566MS. KRISTI LORRAINE KOPACZ PA-C
Individual
Physician Assistant420 DELAWARE ST SE MAYO MAIL CODE 290
MINNEAPOLIS, MN 55455
(612) 625-0505
1225005416 BARBARA A. BODNIA CRNA
Individual
Nurse Anesthetist, Certified Registered420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
(612) 626-3000
1720055841 LISA A. CITAK CRNA
Individual
Nurse Anesthetist, Certified Registered420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
(612) 626-3000
1619944733 MARY E. EDGAR CRNA
Individual
Nurse Anesthetist, Certified Registered420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
(612) 626-3000
1184692071 DAVID D. FEROE CRNA
Individual
Nurse Anesthetist, Certified Registered420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
(612) 626-3000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619293834, enumerated in the NPI registry as an "individual" on April 13, 2010

The provider is located at 420 Delaware St Se Ob/gyn Mmc #395 Room 12-190 Moos Tower Minneapolis, Mn 55455 and the phone number is (612) 626-6628

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 16 years of experience. She graduated from Medical College Of Wisconsin in 2010.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): PARK NICOLLET METHODIST HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 13, 2010. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.