CENTRACARE CLINIC
NPI 1003339789
Clinic/Center - Multi-Specialty in Saint Cloud, MN
About Centracare Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRACARE CLINIC (NPI 1003339789), doing business as Centracare - Coordinated Care Clinic, is a healthcare organization registered as a multi-specialty in Saint Cloud, Minnesota and active in the NPI registry since July 2017. The organization holds a CLIA Certificate of Compliance certificate valid through November 11, 2026, maintains 2 additional practice locations, and lists Michael A Blair, Sr Vp & Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centracare Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,050Medicare enrollment records show 1,050 clinicians reassign Medicare billing to Centracare Clinic, which bills Medicare for the services they deliver. Of these, 51 practice at this address and 642 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 46
Nearest to this location (20)
See all 1,050Saint Cloud, MN 56303
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 24D0992852
Centracare Clinic- Plaza Dermatology · Saint Cloud, MNFrequently 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 Centracare Clinic's NPI number?
The NPI number for Centracare Clinic is 1003339789. It was assigned to this organization in the NPPES registry on July 25, 2017. The provider is doing business as CentraCare - Coordinated Care Clinic.
Where is Centracare Clinic located?
Centracare Clinic is located at 3701 12th St N Ste 102, Saint Cloud, MN 56303. The listed phone number is (320) 656-7195.
What is Centracare Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Centracare Clinic enrolled in Medicare?
Yes. Centracare Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centracare Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,050 clinicians in 46 Medicare specialties reassign their Medicare billing to Centracare Clinic. A 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 the clinician's services. The largest specialties are Nurse Practitioner (199), Family Practice (127) and Certified Registered Nurse Anesthetist (CRNA) (113). Of these, 51 practice at this address and 642 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Centracare Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 24D0992852) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Centracare Clinic accept?
Health plans from HealthPartners and Sanford Health Plan list Centracare Clinic 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 Centracare Clinic was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.
# Centracare Clinic · NPI 1003339789
Multi-Specialty organization in Saint Cloud, Minnesota. Organization record, active in the CMS NPPES registry since July 25, 2017.
## Identity
- **NPI:** 1003339789 (Entity type: Organization)
- **Enumerated:** July 25, 2017
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** CentraCare - Coordinated Care Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Michael Blair, SR VP & CFO
## Practice location
- **Address:** 3701 12TH ST N STE 102, Saint Cloud, MN 56303-2253
- **Phone:** (320) 656-7195
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,050 clinicians in 46 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (199), Family Practice (127), Certified Registered Nurse Anesthetist (CRNA) (113); 51 practice at this address and 642 within 10 miles; [full list](https://npiprofile.com/npi/1003339789/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003339789) · Data from the CMS NPPES public registry.