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THERESE M SHUMAKER
NPI 1205806916
Counselor - Mental Health in Rochester, MN

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
927 25TH ST SE, ROCHESTER, MN 55904(507) 358-3733 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2026, Mar 20, 2023, Apr 5, 2021 and 1 more (4 updates tracked since 2020).

About Therese M Shumaker NPPES

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

THERESE M SHUMAKER (NPI 1205806916) is an individual mental health provider in Rochester, Minnesota, licensed in Minnesota (4829) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1205806916
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTHERESE M SHUMAKER
Location Address927 25TH ST SERochester, MN 55904-2911
Mailing Address927 25th St SeRochester, MN 55904-2911 · (507) 358-3733
Phone(507) 358-3733
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 25, 2006
Last NPPES UpdateApril 7, 20264 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1205806916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 4829
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 1919 (MN)
927 25TH ST SE, Rochester, MN 55904
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Texas and more.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

Therese M Shumaker 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 ID3678575073
PECOS Enrollment IDI20260319001587
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

2

Medicare enrollment records show Therese Shumaker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sailor Health Medical PA
1,432 mi
Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, Minnesota enrollment
  • 10 clinicians in this Medicare group
NPI 1841012960 (786) 269-0333
Grow Healthcare Group PA
1,432 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Minnesota enrollment
  • 276 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

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 Therese Shumaker's NPI number?

The NPI number for Therese Shumaker is 1205806916. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Therese Shumaker located?

Therese Shumaker practices at 927 25th St SE, Rochester, MN 55904. The listed phone number is (507) 358-3733.

What is Therese Shumaker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Therese Shumaker enrolled in Medicare?

Yes. Therese Shumaker 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 Therese Shumaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Therese Shumaker reassigns Medicare benefits to 2 organizations: Sailor Health Medical PA (Coral Gables, FL) and Grow Healthcare Group PA (Miami, FL). 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 Therese Shumaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Therese Shumaker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Therese Shumaker 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.

When was this NPI record last updated?

The NPPES record for Therese Shumaker was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.