KIMBERLY J HAYCRAFT SCHMOTTER (MD) – Family Medicine Physician, NPI 1306800107

KIMBERLY J HAYCRAFT SCHMOTTER (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE, FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 63359 (WI). The NPI Number for KIMBERLY J HAYCRAFT SCHMOTTER (MD) is 1306800107

Main info

Female
30 Years Of Experience
Name
KIMBERLY J HAYCRAFT SCHMOTTER (MD)
NPI
1306800107
Phone
(612) 262-4813
Address
PO BOX 43
Enumeration Date
17 April 2006
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2183873040
Graduation Year
1996 (30 years ago)
PAC ID
7810073855
Group Practice PAC ID
4284629742
Professional Enrollment ID
I20080331000428
Address ID
MN556043017GR515XXWXXX400

Contacts

Secure Messaging
him@marshfieldclinichealthsystem.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness95
Years active:20State licenses:2Other names

1,297 EMERGENCY MEDICINE in WI

Provider Addresses for KIMBERLY J HAYCRAFT SCHMOTTER (MD)

  • PO BOX 43

    MR 10809

    MINNEAPOLIS, MN 554400043

    Phone: (612) 262-4813

    Fax: (612) 262-4194

    Type: Mailing

  • 1700 W Stout St

    Rice Lake, WI 548685000

    Phone: (715) 236-8100

    Type: Location

  • 24004 W SUNSET ISLAND DR

    COHASSET, MN 557212130

    Phone: (612) 516-2868

    Type: Mailing

  • 701, Dellwood Street South, Cambridge, Isanti County, Minnesota, 55008, United States

    CAMBRIDGE, MN 550081920

    Phone: (763) 689-7700

    Fax: (763) 689-7941

    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: 2015-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080331000428IEmergency MedicineMNTBD
I20150210000658IFamily PracticeWITBD

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 55440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284629742View full group profile
NameSpecialtyState
Internal Medicine, HospitalistMN
Hospitalist, Hospitalist, Internal MedicineSD
Emergency MedicineNC
Emergency MedicinePA
Internal Medicine, HospitalistNC
Emergency MedicineTX
Hospitalist, Internal MedicineMN
H O S P I T A L I S TMN
Emergency MedicineMINNESOTA

Reviews

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Frequently asked questions

What unique ID ties claims to KIMBERLY J HAYCRAFT SCHMOTTER (MD)?
NPI 1306800107 is assigned to KIMBERLY J HAYCRAFT SCHMOTTER (MD) under the national enumeration system.
Is KIMBERLY J HAYCRAFT SCHMOTTER (MD) currently active in the NPI registry?
CMS-published data lists KIMBERLY J HAYCRAFT SCHMOTTER (MD) as an active registrant.
Does KIMBERLY J HAYCRAFT SCHMOTTER (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for KIMBERLY J HAYCRAFT SCHMOTTER (MD). Clinical services aligned with this taxonomy classification.
What location shows for KIMBERLY J HAYCRAFT SCHMOTTER (MD)?
We surface Minneapolis, Minnesota for KIMBERLY J HAYCRAFT SCHMOTTER (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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