KAREN MARIE CREMERS OTR/L
NPI 1457693673
Occupational Therapist in Duluth, MN

NPI Status: Active since March 26, 2013

Contact Information

1600 MILLER TRUNK HWY BLDG C
DULUTH, MN
ZIP 55811
Phone: (218) 786-5360

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  • Individual
  • Female
  • Occupational Therapist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About KAREN CREMERS

This page provides the complete NPI Profile along with additional information for Karen Cremers, a provider established in Duluth, Minnesota with a medical specialization in Occupational Therapist. The healthcare provider is registered in the NPI registry with number 1457693673 assigned on March 2013. The practitioner's primary taxonomy code is 225X00000X with license number 104441 (MN). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1457693673
Provider Name
KAREN MARIE CREMERS OTR/L
Other Name
KAREN MARIE CARR OTR/L
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1600 MILLER TRUNK HWY BLDG C DULUTH, MN 55811
Location Phone
(218) 786-5360
Mailing Address
1600 MILLER TRUNK HWY BLDG C DULUTH, MN 55811
Mailing Phone
(218) 786-5360
Is Sole Proprietor?
No
Enumeration Date
03-26-2013
Last Update Date
12-15-2020
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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

Occupational Therapist

Taxonomy Code
225X00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
104441
License State
MN
Taxonomy Description
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Bronze HSA - EPO
  • Essentia Choice Care with Medica Bronze Share - EPO
  • Essentia Choice Care with Medica Bronze Share - HMO
  • Essentia Choice Care with Medica Expanded Bronze Standard - EPO
  • Essentia Choice Care with Medica Expanded Bronze Standard - HMO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Gold Share - EPO
  • Essentia Choice Care with Medica Gold Share - HMO
  • Essentia Choice Care with Medica Gold Standard - EPO
  • Essentia Choice Care with Medica Gold Standard - HMO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Silver Share - EPO
  • Essentia Choice Care with Medica Silver Share - HMO
  • Essentia Choice Care with Medica Silver Standard - EPO
  • Essentia Choice Care with Medica Silver Standard - HMO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

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

Medicare Participation & PECOS Enrollment Status

Karen Cremers 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.

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.

  • PECOS PAC ID: 2668610379

    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: I20130607000118

    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.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Evaluation for occupational therapy, typically 30 minutes

An evaluation for occupational therapy is a process where a therapist assesses your physical and mental abilities to perform daily activities. This 30-minute session helps identify any difficulties you may have and develop strategies for improvement.

This service was performed 12 times for 11 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 82 times for 11 patients

Reviews for KAREN MARIE CREMERS OTR/L

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457693673, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 1 + 2 + 9 + 6 + 6 + 1 + 4 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1457693673.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Occupational Therapist
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN 55811
Speech-Language Pathologist
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN 55811
Physical Therapist
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN 55811
Physical Therapist
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN 55811
Occupational Therapist (Physical Rehabilitation)
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN 55811
Speech-Language Pathologist
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN 55811
Speech-Language Pathologist
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN 55811
Occupational Therapist
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN 55811
Physical Medicine & Rehabilitation
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN 55811
Physical Therapist
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN 55811
Physical Therapist
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN 55811
Physical Therapist
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN 55811
Physical Therapist
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN 55811
Clinic/Center (Rehabilitation)
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN 55811
Occupational Therapist
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN 55811

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457693673, enumerated as an "individual" on March 26, 2013.

The provider is located at 1600 MILLER TRUNK HWY BLDG C DULUTH, MN 55811 and the phone number is (218) 786-5360.

Occupational Therapist with taxonomy code 225X00000X.

The provider might be accepting Accepts: Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.