RACHEL GLAD HEDSTROM
NPI 1518420165
Pediatrics in Saint Paul, MN

NPI Status: Active since April 10, 2019

Contact Information

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102
Phone: (651) 220-6000

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  • Individual
  • Female
  • Pediatrics
  • Accepts Insurance
  • PECOS Enrolled

About RACHEL HEDSTROM

This page provides the complete NPI Profile along with additional information for Rachel Hedstrom, a pediatrician established in Saint Paul, Minnesota with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1518420165 assigned on April 2019. The practitioner's primary taxonomy code is 208000000X with license number 69775 (MN). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1518420165
Provider Name
RACHEL GLAD HEDSTROM
Gender
Female
Entity Type
Individual
Location Address
345 SMITH AVE N SAINT PAUL, MN 55102
Location Phone
(651) 220-6000
Mailing Address
345 SMITH AVE N SAINT PAUL, MN 55102
Is Sole Proprietor?
No
Enumeration Date
04-10-2019
Last Update Date
04-12-2023
Code Navigator

A pediatrician like Rachel Hedstrom 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

Secondary Locations

  • 2450 Riverside Avenue Pediatrics ED Office First Floor East Building 8950A
    minneapolis, MN 55454
    (612) 624-4477

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.
69775
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

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

  • 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
  • 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.

Medicare Participation & PECOS Enrollment Status

Rachel Hedstrom 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

  • 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

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55102 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.82
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $21.45
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.61
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $24.65
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for RACHEL GLAD HEDSTROM

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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.
1518420165
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528820112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 8 + 2 + 0 + 1 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1518420165 is valid because the calculated check digit 5 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.

PETER H HELSETH MD

Pathology

(Anatomic Pathology & Clinical Pathology)

345 SMITH AVE N
CHILDRENS HOSPITALS AND CLINICS-PATHOLOGY-STPL
SAINT PAUL, MN
ZIP 55102

(651) 220-6563

DINEL POND M.S., C.G.C.

Genetic Counselor, MS

345 SMITH AVE N
MAILSTOP 61-245
SAINT PAUL, MN
ZIP 55102

(651) 220-6121

MS. MARYANN VONESCHEN FOX MS, CGC

Genetic Counselor, MS

345 SMITH AVE N
SUITE 204
SAINT PAUL, MN
ZIP 55102

(651) 241-6276

KATIE LARAE MEYERS PHARMD

Pharmacist

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102

(651) 220-6962

DR. SARAH ANN BARBER PHARMD,RPH

Pharmacist

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102

(651) 855-2017

DR. NEAL JEFFERY FLEMING PHARM.D.

Pharmacist

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102

(651) 220-6941

MS. MARY E HENDRICKS R.PH.

Pharmacist

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102

(651) 220-6962

KEVIN RIDDLE MPT

Physical Therapist

(Pediatrics)

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102

(651) 220-6283

KATI MUNSON PHARM.D.

Pharmacist

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102

(651) 220-6962

RACHEL MARIE SULLIVAN RN, CNP

Nurse Practitioner

(Pediatrics)

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102

(651) 220-6000

MS. LANE KATHRYN TORING BS PHARM

Pharmacist

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102

(651) 220-6962

LUCY HAMILTON JOHNSON RPH

Pharmacist

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102

(651) 220-6962

PAUL JENSEN

Pharmacist

345 SMITH AVE N
PHARMACY DEPARTMENT
SAINT PAUL, MN
ZIP 55102

(651) 220-6809

WILLIAM BUNZLI PHARMD

Pharmacist

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102

(651) 220-6806

THERESE K SPIESS

Pharmacist

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102

(651) 220-6962

LISA BABCOCK NICKLAY RPH

Pharmacist

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102

(651) 220-6962

LYNN M JASPERSON PHARM.D.

Pharmacist

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102

(651) 220-6962

AMANDA MICHAELSON PHARMD

Pharmacist

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102

(651) 220-6962

DIANNA SENG PHARM.D.

Pharmacist

345 SMITH AVE N
MAIL STOP 60208
SAINT PAUL, MN
ZIP 55102

(651) 220-6820

LOREEN L KIMBLE CNNP

Nurse Practitioner

(Neonatal, Critical Care)

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102

(651) 220-6210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518420165, enumerated as an "individual" on April 10, 2019.

The provider is located at 345 SMITH AVE N SAINT PAUL, MN 55102 and the phone number is (651) 220-6000.

Pediatrics with taxonomy code 208000000X.

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