SHERI W HAROLDSON MD
NPI 1780613927
Internal Medicine in St Cloud, MN

NPI Status: Active since July 01, 2006

Contact Information

1200 SIXTH AVE N
ST CLOUD, MN
ZIP 56303
Phone: (320) 252-5131

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  • Individual
  • Female
  • Internal Medicine
  • Accepts Insurance
  • PECOS Enrolled

About SHERI HAROLDSON

This page provides the complete NPI Profile along with additional information for Sheri Haroldson, an internist established in St Cloud, Minnesota with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1780613927 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X with license number 46748 (MN). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1780613927
Provider Name
SHERI W HAROLDSON MD
Other Name
SHERI MARIE WEINBERGER M.D.
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1200 SIXTH AVE N ST CLOUD, MN 56303
Location Phone
(320) 252-5131
Mailing Address
1200 SIXTH AVE N ST CLOUD, MN 56303
Mailing Phone
(320) 252-5131
Is Sole Proprietor?
No
Enumeration Date
07-01-2006
Last Update Date
08-30-2016
Code Navigator

An internist like Sheri Haroldson is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
46748
License State
MN
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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)
1208M00000XAllopathic & Osteopathic Physicians

Hospitalist

46748 (MN)

Insurance Plans Accepted

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

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • 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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
827397900MEDICAID (05)MN 
110011522MEDICARE PIN (08)MN 
82737900MEDICAID (05)MN 
I62481MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Sheri Haroldson 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Wheelchairs (DD021N)

    Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)

    2 DME suppliers used 11 Medicare Claims 11 Services Paid

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.

Follow-up nursing facility visit per day, typically 25 minutes

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

This service was performed 124 times for 39 patients

Initial nursing facility visit per day, typically 35 minutes

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

This service was performed 12 times for 12 patients

Initial nursing facility visit per day, typically 45 minutes

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

This service was performed 16 times for 16 patients

Nursing facility discharge management, more than 30 minutes

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

This service was performed 16 times for 16 patients

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 56303 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $127.61
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $31.9
  • 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 SHERI W HAROLDSON MD

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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 1780613927, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
7
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 8 → 16 → 7 6 → 12 → 3 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 6 + 0 + 1 + 2 + 1 + 6 + 9 + 4 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1780613927.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Clinical Cardiac Electrophysiology)
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Internal Medicine
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Pediatrics (Pediatric Critical Care Medicine)
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Dietitian, Registered
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Internal Medicine (Nephrology)
1200 SIXTH AVE N, CENTRACARE CLINIC RIVER CAMPUS
ST CLOUD, MN 56303
Internal Medicine (Cardiovascular Disease)
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Nurse Practitioner
1200 SIXTH AVE N, CENTRA CARE CLINIC
ST CLOUD, MN 56303
Internal Medicine
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Internal Medicine
1200 SIXTH AVE N, CENTRA CARE CLINIC
ST CLOUD, MN 56303
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Nurse Practitioner (Adult Health)
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Physician Assistant
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Registered Nurse (Nephrology)
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Physician Assistant
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Internal Medicine (Nephrology)
1200 SIXTH AVE N, CENTRACARE CLINIC
ST. CLOUD, MN 56303
Internal Medicine (Nephrology)
1200 SIXTH AVE N, CENTRACARE CLINIC
ST. CLOUD, MN 56303
Internal Medicine (Nephrology)
1200 SIXTH AVE N, CENTRA CARE CLINIC
ST CLOUD, MN 56303
Internal Medicine (Nephrology)
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Internal Medicine (Clinical Cardiac Electrophysiology)
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Internal Medicine (Interventional Cardiology)
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780613927, enumerated as an "individual" on July 01, 2006.

The provider is located at 1200 SIXTH AVE N ST CLOUD, MN 56303 and the phone number is (320) 252-5131.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: HealthPartners, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.