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JOHN M HOULE MD
NPI 1073531885
Surgery - Plastic and Reconstructive Surgery in St Cloud, MN

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
3701 12TH ST N, SUITE 100, ST CLOUD, MN 56303(320) 253-7257(320) 251-2938 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John M Houle Md NPPES

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

JOHN M HOULE MD (NPI 1073531885) is an individual plastic and reconstructive surgery provider in St Cloud, Minnesota, licensed in Minnesota (48468) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Medical College Of Wisconsin (2000).

NPPES Registry Identity

NPI1073531885
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameJOHN M HOULECredential: MD
Location Address3701 12TH ST N, SUITE 100St Cloud, MN 56303
Mailing Address3701 12th St N, Suite 100St Cloud, MN 56303 · (320) 253-7257 · Fax (320) 251-2938
Phone(320) 253-7257
Fax(320) 251-2938
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2000
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073531885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MN · 48468
Definition
A surgeon who specializes in plastic and reconstructive surgery.
3701 12TH ST N, St Cloud, MN 56303
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.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

John M Houle Md 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 ID8426052507
PECOS Enrollment IDI20060901000076
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 Reassignments

5

Medicare enrollment records show John Houle reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centracare Clinic
Same address
Multi-Specialty
3701 12TH ST N STE 102
Saint Cloud, MN 56303
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,051 clinicians in this Medicare group
NPI 1003339789 (320) 656-7195
Centracare Health System - Melrose
27 mi
Critical Access
525 W. MAIN STREET
Melrose, MN 56352
  • Reassigned Medicare billing, Minnesota enrollment
  • 180 clinicians in this Medicare group
NPI 1720045073 (320) 256-4231
Centracare Health System-Nr LLC
28 mi
Critical Access
1013 HART BLVD
Monticello, MN 55362
  • Reassigned Medicare billing, Minnesota enrollment
  • 285 clinicians in this Medicare group
NPI 1275872772 (763) 295-2945
Centracare Health System - Sauk Centre
38 mi
Rural Health
425 ELM ST N
Sauk Centre, MN 56378
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1740553932 (Minnesota)
  • 173 clinicians in this Medicare group
NPI 1578813762 (320) 352-2221
Centracare Clinic Southwest LLC
52 mi
Multi-Specialty
101 WILLMAR AVE SW
Willmar, MN 56201
  • Reassigned Medicare billing, Minnesota enrollment
  • 236 clinicians in this Medicare group
NPI 1174106264 (320) 231-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

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.

CRAIG TANGEN
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Stearns County (320) 258-3090
KIMBERLY HUSCHLE
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Stearns County (320) 258-3090
CLINT SAUER LMFT
Marriage & Family Therapist
3701 12TH ST N, SUITE 203
SAINT CLOUD, MN 56303
Stearns County (320) 253-3512
HENRY P. YANG M.D.
Plastic Surgery
3701 12TH ST N, SUITE 100
SAINT CLOUD, MN 56303
Stearns County (320) 253-7257
KAYLA JANE ELWOOD
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Stearns County (320) 258-3090
JAMES M SMITH MD
Surgery (Plastic and Reconstructive Surgery)
3701 12TH ST N, SUITE 100
ST CLOUD, MN 56303
Stearns County (320) 253-7257
MIDSOTA PLASTIC AND RECONSTRUCTIVE SURGEONS PA
Surgery (Plastic and Reconstructive Surgery)
3701 12TH ST N, SUITE 100
SAINT CLOUD, MN 56303
Stearns County (320) 253-7257
JULIE ZUPFER ANDERSON CRNA
Nurse Anesthetist, Certified Registered
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 56303
Stearns County (320) 258-3090

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 John Houle's NPI number?

The NPI number for John Houle is 1073531885. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is John Houle located?

John Houle practices at 3701 12th St N Suite 100, St Cloud, MN 56303. The listed phone number is (320) 253-7257.

What is John Houle's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is John Houle enrolled in Medicare?

Yes. John Houle 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 organizations bill Medicare for John Houle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Houle reassigns Medicare benefits to 5 organizations: Centracare Clinic (Saint Cloud, MN), Centracare Health System - Melrose (Melrose, MN), Centracare Health System-Nr LLC (Monticello, MN), Centracare Health System - Sauk Centre (Sauk Centre, MN) and Centracare Clinic Southwest LLC (Willmar, MN). Each 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 John Houle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Houle accept?

Health plans from HealthPartners and Sanford Health Plan list John Houle 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.

Is John Houle affiliated with any hospitals?

According to CMS data, John Houle is affiliated with St Cloud Hospital.

When was this NPI record last updated?

The NPPES record for John Houle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.