MEGAN SCHMITZ
NPI 1801300553
Social Worker - Clinical in Saint Cloud, MN

Active since November 16, 2017PECOS EnrolledAccepts Medicare Assignment
4801 VETERANS DR, SAINT CLOUD, MN 56303(320) 252-1670(320) 255-6326 Get Directions Write a Review

NPPES record last updated: November 16, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Megan Schmitz NPPES

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

MEGAN SCHMITZ (NPI 1801300553) is an individual clinical provider in Saint Cloud, Minnesota, licensed in Minnesota (23785) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1801300553
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMEGAN SCHMITZ
Location Address4801 VETERANS DRSaint Cloud, MN 56303-2015
Mailing Address4801 Veterans DrSaint Cloud, MN 56303-2015
Fax(320) 255-6326
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 16, 2017
✔ NPI 1801300553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 23785
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4801 VETERANS DR, Saint Cloud, MN 56303

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

Megan Schmitz 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 ID3476034539
PECOS Enrollment IDI20260226000826
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 Reassignment

Medicare enrollment records show Megan Schmitz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counseling
1833 3RD AVE
Anoka, MN 55303
  • Reassigned Medicare billing, Minnesota enrollment
  • 145 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker (Clinical)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Pharmacist
4801 VETERANS DR
SAINT CLOUD, MN 56303
Occupational Therapy Assistant
4801 VETERANS DR
SAINT CLOUD, MN 56303
Specialist/Technologist (Rehabilitation, Blind)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Licensed Practical Nurse
4801 VETERANS DR
SAINT CLOUD, MN 56303
Licensed Practical Nurse
4801 VETERANS DR
SAINT CLOUD, MN 56303
Health and Wellness Coach
4801 VETERANS DR
SAINT CLOUD, MN 56303
Registered Nurse
4801 VETERANS DR
SAINT CLOUD, MN 56303

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 Megan Schmitz's NPI number?

The NPI number for Megan Schmitz is 1801300553. It was assigned to this individual provider in the NPPES registry on November 16, 2017.

Where is Megan Schmitz located?

Megan Schmitz practices at 4801 Veterans Dr, Saint Cloud, MN 56303. The listed phone number is (320) 252-1670.

What is Megan Schmitz's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Megan Schmitz enrolled in Medicare?

Yes. Megan Schmitz 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 organization bills Medicare for Megan Schmitz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Schmitz reassigns Medicare benefits to Family Innovations, Inc. (Anoka, MN). The 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 Megan Schmitz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Schmitz accept?

Health plans from HealthPartners and Medica list Megan Schmitz 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.

When was this NPI record last updated?

The NPPES record for Megan Schmitz was last updated on November 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.