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DUSTYN JON LEFF
NPI 1124873740
Student in an Organized Health Care Education/Training Program in Saint Cloud, MN

Active since April 18, 2024PECOS EnrolledAccepts Medicare Assignment
1555 NORTHWAY DR STE 200, SAINT CLOUD, MN 56303(320) 240-3112 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 2, 2026, Apr 18, 2024 (2 updates tracked since 2024).

About Dustyn Jon Leff NPPES

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

DUSTYN JON LEFF (NPI 1124873740) is an individual student in an organized health care education/training program in Saint Cloud, Minnesota and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124873740
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDUSTYN JON LEFF
Location Address1555 NORTHWAY DR STE 200Saint Cloud, MN 56303-4913
Mailing Address1555 Northway Dr Ste 200Saint Cloud, MN 56303-4913 · (320) 240-3112
Phone(320) 240-3112
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 18, 2024
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1124873740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1555 NORTHWAY DR STE 200, Saint Cloud, MN 56303
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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

Dustyn Jon Leff 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 ID3779021282
PECOS Enrollment IDI20251030002758
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 Dustyn Leff 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
1555 NORTHWAY DR STE 100
Saint Cloud, MN 56303
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,051 clinicians in this Medicare group
NPI 1881696490 (320) 251-1775
Centracare Health-Paynesville LLC
19 mi
Rural Health
130 1ST ST NE
Richmond, MN 56368
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1205269941 (Minnesota)
  • 124 clinicians in this Medicare group
NPI 1144653734 (320) 597-2122
Centracare Health System - Melrose
28 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 - Sauk Centre
39 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 Health System - Long Prairie
42 mi
Critical Access
50 CENTRACARE DR
Long Prairie, MN 56347
  • Reassigned Medicare billing, Minnesota enrollment
  • 156 clinicians in this Medicare group
NPI 1164471678 (320) 732-2141

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

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.

SARA TAROKH MD
Student in an Organized Health Care Education/Training Program
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3112
FARIHA FURQAN QURESHI MD
Family Medicine
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157
SADIO AHMED MOHAMED MD
Family Medicine
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157
BASMA ALI KHAN
Student in an Organized Health Care Education/Training Program
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157
JENNIFER ANN TARPENNING MD
Family Medicine
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157
DR. BASHIR MOALLIN MBBS
Family Medicine
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157
JORDAN KAYE OLIPHANT MD
Student in an Organized Health Care Education/Training Program
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157
JACQUELYN JOSIE ANDERSON DO
Student in an Organized Health Care Education/Training Program
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157

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 Dustyn Leff's NPI number?

The NPI number for Dustyn Leff is 1124873740. It was assigned to this individual provider in the NPPES registry on April 18, 2024.

Where is Dustyn Leff located?

Dustyn Leff practices at 1555 Northway Dr Ste 200, Saint Cloud, MN 56303. The listed phone number is (320) 240-3112.

What is Dustyn Leff's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dustyn Leff enrolled in Medicare?

Yes. Dustyn Leff 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 Dustyn Leff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dustyn Leff reassigns Medicare benefits to 5 organizations: Centracare Clinic (Saint Cloud, MN), Centracare Health-Paynesville LLC (Richmond, MN), Centracare Health System - Melrose (Melrose, MN), Centracare Health System - Sauk Centre (Sauk Centre, MN) and Centracare Health System - Long Prairie (Long Prairie, 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 Dustyn Leff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dustyn Leff was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.