CENTRACARE - BIG LAKE CLINIC
NPI 1013104348
Clinic/Center - Multi-Specialty in Big Lake, MN
About Centracare - Big Lake Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRACARE - BIG LAKE CLINIC (NPI 1013104348) is a healthcare organization registered as a multi-specialty in Big Lake, Minnesota and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists Michael A Blair, Sr Vp & Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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 - Big Lake 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 - Big Lake Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 13 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 1,050Big Lake, MN 55309
Becker, MN 55308
Becker, MN 55308
Becker, MN 55308
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 Waiver 24D1080211
Centracare - Big Lake · Big Lake, 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 1013104348. It was assigned to this organization in the NPPES registry on October 1, 2007. The provider is doing business as Centracare - Big Lake Clinic.
Where is Centracare Clinic located?
Centracare Clinic is located at 16830 198th Ave NW Centracare Clinic - Big Lake, Big Lake, MN 55309. The listed phone number is (763) 263-7300.
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, 1 practice at this address and 13 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 Waiver (number 24D1080211) is associated with this NPI, valid through February 28, 2027. 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 November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Centracare - Big Lake Clinic · NPI 1013104348
Multi-Specialty organization in Big Lake, Minnesota. Organization record, active in the CMS NPPES registry since October 1, 2007.
## Identity
- **NPI:** 1013104348 (Entity type: Organization)
- **Enumerated:** October 1, 2007
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Centracare Clinic
- **Organization subpart:** Yes (part of Centracare Clinic)
- **Authorized official:** Michael Blair, SR VP & CFO
## Practice location
- **Address:** 16830 198TH AVE NW, CENTRACARE CLINIC - BIG LAKE, Big Lake, MN 55309-4860
- **Phone:** (763) 263-7300 · **Fax:** (763) 263-7338
## 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); 1 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1013104348/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2020
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1013104348) · Data from the CMS NPPES public registry.