DR. NICHOLE MARIE SCHAEFER MD
NPI 1649220641
Family Medicine in Duluth, MN

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
4702 GRAND AVE, DULUTH, MN 55807(218) 249-6800(218) 249-6808 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2020, Jan 31, 2017 (2 updates tracked since 2017).

About Dr. Nichole Marie Schaefer Md NPPES

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

DR. NICHOLE MARIE SCHAEFER MD (NPI 1649220641) is an individual family medicine provider in Duluth, Minnesota, licensed in Minnesota (42655) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of University Of Minnesota Medical School (1999).

NPPES Registry Identity

NPI1649220641
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICHOLE MARIE SCHAEFERCredential: MD
Location Address4702 GRAND AVEDuluth, MN 55807-2742
Mailing Address4702 Grand AveDuluth, MN 55807-2742 · (218) 249-6800 · Fax (218) 249-6808
Fax(218) 249-6808
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1999
Enumeration DateMay 11, 2006
Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
NPI 1649220641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 42655
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4702 GRAND AVE, Duluth, MN 55807

Other Identifiers 1

Medicaid223613300MN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nichole Marie Schaefer 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 ID7719984673
PECOS Enrollment IDI20070111000457
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.

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 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.
162 services102 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
82 services82 patients
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.
39 services30 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55807 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers31 claims82 services$6.13 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier11 claims660 services$1.39 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers13 claims65 services$2.03 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers19 claims19 services$32.34 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
5 suppliers20 claims4,569 services$0.03 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers14 claims420 services$0.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Family Medicine
4702 GRAND AVE
DULUTH, MN 55807
Physical Therapist
4702 GRAND AVE
DULUTH, MN 55807
Family Medicine
4702 GRAND AVE
DULUTH, MN 55807
Physician Assistant
4702 GRAND AVE
DULUTH, MN 55807
Nurse Practitioner (Adult Health)
4702 GRAND AVE
DULUTH, MN 55807
Nurse Practitioner (Occupational Health)
4702 GRAND AVE
DULUTH, MN 55807
Preventive Medicine (Occupational Medicine)
4702 GRAND AVE
DULUTH, MN 55807
Family Medicine
4702 GRAND AVE
DULUTH, MN 55807

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 Nichole Schaefer's NPI number?

The NPI number for Nichole Schaefer is 1649220641. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Nichole Schaefer located?

Nichole Schaefer practices at 4702 Grand Ave, Duluth, MN 55807. The listed phone number is (218) 249-6800.

What is Nichole Schaefer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nichole Schaefer enrolled in Medicare?

Yes. Nichole Schaefer 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.

What insurance does Nichole Schaefer accept?

Health plans from HealthPartners, Medica and Security Health Plan list Nichole Schaefer 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 Nichole Schaefer affiliated with any hospitals?

According to CMS data, Nichole Schaefer is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Nichole Schaefer was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.