KATHERINE K SCHROEDER (P.A.) – Physician Assistant, NPI 1215267927

KATHERINE K SCHROEDER (P.A.) is a healthcare provider. based in Saint louis park, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 11282 (MN). The NPI Number for KATHERINE K SCHROEDER (P.A.) is 1215267927

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE K SCHROEDER (P.A.)
NPI
1215267927
Phone
(612) 293-0352
Address
5821 CEDAR LAKE RD S STE 203
Enumeration Date
31 December 2009
Last Update Date
18 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122930352
Graduation Year
2009 (17 years ago)
PAC ID
8022152891
Professional Enrollment ID
I20130326000529
Address ID
MN554161487ST5821XSXXX500

Contacts

Secure Messaging
hello@allintherapyclinic.com
Secure Messaging
Katey@stayspryhealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for KATHERINE K SCHROEDER (P.A.)

  • 5821 CEDAR LAKE RD S STE 203

    SAINT LOUIS PARK, MN 554161487

    Phone: (612) 293-0352

    Fax: (612) 464-7879

    Type: Mailing

  • 606 24TH AVE S STE 700

    MINNEAPOLIS, MN 554541462

    Phone: (612) 273-6099

    Type: Mailing

  • 606 24TH AVE S STE 602

    MINNEAPOLIS, MN 554541438

    Phone: (612) 273-6099

    Type: Location

  • 7505 METRO BLVD STE 505

    EDINA, MN 554393018

    Phone: (651) 271-1665

    Fax: (612) 999-1767

    Type: Mailing

  • 7505 METRO BLVD FL 5

    EDINA, MN 554393081

    Phone: (651) 271-1665

    Fax: (612) 999-1767

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130326000529IPhysician AssistantMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55416)

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Reviews

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Frequently asked questions

How is KATHERINE K SCHROEDER (P.A.) identified in CMS data?
CMS-hosted NPPES data lists KATHERINE K SCHROEDER (P.A.) with NPI 1215267927.
Is KATHERINE K SCHROEDER (P.A.) listed as active for patients and plans?
The listing shows KATHERINE K SCHROEDER (P.A.) as active in the NPI system.
What is KATHERINE K SCHROEDER (P.A.)'s specialty?
The listing groups KATHERINE K SCHROEDER (P.A.) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does KATHERINE K SCHROEDER (P.A.) list a practice location?
Patients near Saint Louis Park, Minnesota may find KATHERINE K SCHROEDER (P.A.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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