SHEILA M SPECKER MD
NPI 1710068119
Psychiatry & Neurology - Addiction Medicine in Minneapolis, MN

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2312 S 6TH ST, SUITE F256 / 2B WEST, MINNEAPOLIS, MN 55454(612) 273-8700 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sheila M Specker Md NPPES

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

SHEILA M SPECKER MD (NPI 1710068119) is an individual addiction medicine provider in Minneapolis, Minnesota, licensed in Minnesota (30762) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of University Of Minnesota Medical School (1983).

NPPES Registry Identity

NPI1710068119
Entity TypeIndividualFemale
Primary Taxonomy2084A0401X
Provider Legal NameSHEILA M SPECKERCredential: MD
Location Address2312 S 6TH ST, SUITE F256 / 2B WESTMinneapolis, MN 55454-1336
Mailing Address420 Delaware Street Se, University Of Minnesota PhysiciansMinneapolis, MN 55455 · (612) 273-8700
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1983
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710068119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
License✔ Licensed in MN · 30762
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
2312 S 6TH ST, Minneapolis, MN 55454

Other Identifiers 11

Other1009314MN · Preferred One
Other768357MN · Araz
OtherHP22007MN · Health Partners
Other15-39940MN · Medica Choice
Medicare UPINB56780
Other15-39940MN · Medica Primary
Medicaid150287500MN
Other8D936SPMN · Blue Cross Blue Shield
Other102845MN · Ucare
Medicare ID-Type Unspecified558249
Medicare ID-Type Unspecified260022385Railroad

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

Sheila M Specker 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 ID8426949231
PECOS Enrollment IDI20040322001575
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

5

Medicare enrollment records show Sheila Specker reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2312 S 6TH ST STE F105
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Dental
606 24TH AVE S, SUITE 200
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 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.

Hospital Affiliations CMS Care Compare

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Psychiatric/Mental Health)
2312 S 6TH ST
MINNEAPOLIS, MN 55454
Counselor (Mental Health)
2312 S 6TH ST
MINNEAPOLIS, MN 55454
Psychiatry & Neurology (Psychiatry)
2312 S 6TH ST, SUITE F256 / 2B WEST
MINNEAPOLIS, MN 55454
Pharmacist (Pharmacotherapy)
2312 S 6TH ST, SUITE F256 / 2B WEST
MINNEAPOLIS, MN 55454
Social Worker (Clinical)
2312 S 6TH ST, SUITE F275
MINNEAPOLIS, MN 55454
Occupational Therapist
2312 S 6TH ST
MINNEAPOLIS, MN 55454
Psychiatry & Neurology (Psychiatry)
2312 S 6TH ST, SUITE F256 / 2B WEST
MINNEAPOLIS, MN 55454
Social Worker (Clinical)
2312 S 6TH ST
MINNEAPOLIS, MN 55454

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 Sheila Specker's NPI number?

The NPI number for Sheila Specker is 1710068119. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Sheila Specker located?

Sheila Specker practices at 2312 S 6th St Suite F256 / 2B West, Minneapolis, MN 55454. The listed phone number is (612) 273-8700.

What is Sheila Specker's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Sheila Specker enrolled in Medicare?

Yes. Sheila Specker 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 Sheila Specker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Specker reassigns Medicare benefits to 5 organizations: Fairview Express Care (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, 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 Sheila Specker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheila Specker accept?

Health plans from Sanford Health Plan list Sheila Specker 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 Sheila Specker affiliated with any hospitals?

According to CMS data, Sheila Specker is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Sheila Specker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.