DR. DENISE M SCHUMACHER MD
NPI 1124049341
Obstetrics & Gynecology in Fargo, ND

Active since July 22, 2006PECOS EnrolledAccepts Medicare Assignment
4450 31ST AVE S STE 102, FARGO, ND 58104(012) 802-0337(701) 232-5578 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 6, 2022, Apr 5, 2021 (2 updates tracked since 2021).

About Dr. Denise M Schumacher Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DENISE M SCHUMACHER MD (NPI 1124049341) is an individual obstetrics & gynecology provider in Fargo, North Dakota, licensed in North Dakota (9024) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Essentia Health, and is a graduate of University Of North Dakota School Of Medicine (1994).

NPPES Registry Identity

NPI1124049341
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. DENISE M SCHUMACHERCredential: MD
Location Address4450 31ST AVE S STE 102Fargo, ND 58104-4557
Mailing Address4450 31st Ave S Ste 102Fargo, ND 58104-4557 · (701) 280-2033 · Fax (701) 232-5578
Fax(701) 232-5578
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1994
Enumeration DateJuly 22, 2006
Last NPPES UpdateMay 6, 20222 updates tracked since enumeration
NPPES CertifiedMay 6, 2022
✔ NPI 1124049341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in ND · 9024
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4450 31ST AVE S STE 102, Fargo, ND 58104

Other Names 1

Former Name (1)Denise Rondeau

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Denise M Schumacher Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496777898
PECOS Enrollment IDI20051229000167
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Denise Schumacher reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
4450 31ST AVE S STE 102
Fargo, ND 58104
  • Reassigned Medicare billing, North Dakota enrollment
  • 15 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
4025 9TH AVE S
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • 38 clinicians in this Medicare group
Clinic/Center
250 WHITE OAK DRIVE
Randall, MN 56475
  • Reassigned Medicare billing, Minnesota enrollment
  • 205 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
4450 31ST AVE S STE 102
FARGO, ND 58104
Internal Medicine
4450 31ST AVE S STE 102
FARGO, ND 58104
Internal Medicine
4450 31ST AVE S STE 102
FARGO, ND 58104
Internal Medicine
4450 31ST AVE S STE 102
FARGO, ND 58104
Physician Assistant
4450 31ST AVE S STE 102
FARGO, ND 58104
Pediatrics
4450 31ST AVE S STE 102
FARGO, ND 58104
Podiatrist (Primary Podiatric Medicine)
4450 31ST AVE S STE 102
FARGO, ND 58104
Dermatology
4450 31ST AVE S STE 102
FARGO, ND 58104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Denise Schumacher's NPI number?

The NPI number for Denise Schumacher is 1124049341. It was assigned to this individual provider in the NPPES registry on July 22, 2006. The provider is also known as Denise Rondeau.

Where is Denise Schumacher located?

Denise Schumacher practices at 4450 31st Ave S Ste 102, Fargo, ND 58104. The listed phone number is (012) 802-0337.

What is Denise Schumacher's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Denise Schumacher enrolled in Medicare?

Yes. Denise Schumacher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Denise Schumacher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Schumacher reassigns Medicare benefits to 3 organizations: Internal Medicine Associates Inc (Fargo, ND), Family Health Care Center (Fargo, ND) and Unity Family Healthcare (Randall, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Denise Schumacher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Schumacher accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Denise Schumacher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Denise Schumacher affiliated with any hospitals?

According to CMS data, Denise Schumacher is affiliated with Essentia Health.

When was this NPI record last updated?

The NPPES record for Denise Schumacher was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.