Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CENTRACARE CLINIC
NPI 1134665359
Clinic/Center - Community Health in Saint Cloud, MN

Q: What is Centracare Clinic's NPI number?

The NPI number for Centracare Clinic is 1134665359. It was assigned to this organization in the NPPES registry on January 11, 2017. The provider is doing business as CentraCare Neurosciences Headache Center.

Q: What is Centracare Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Q: 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 54 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.

Active since January 11, 2017

1900 CENTRACARE CIR, SAINT CLOUD, MN 56303(320) 240-2829(320) 240-2830 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 14, 2026, Jun 23, 2025, Sep 7, 2023 and 3 more (6 updates tracked since 2017).

On this page

About Centracare Clinic NPPES

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

CENTRACARE CLINIC (NPI 1134665359), doing business as Centracare Neurosciences Headache Center, is a healthcare organization registered as a community health in Saint Cloud, Minnesota and active in the NPI registry since January 2017. The organization lists Michael A Blair, Sr Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1134665359

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameCENTRACARE CLINIC

Location Address1900 CENTRACARE CIRSaint Cloud, MN 56303-5000

Mailing AddressPo Box 735818Chicago, IL 60673-5818 · (320) 229-4977

Phone(320) 240-2829

Fax(320) 240-2830

Organization SubpartNo

Authorized OfficialMichael A BlairSr Vp & Cfo · (320) 255-5665

Enumeration DateJanuary 11, 2017

Last NPPES UpdateSeptember 14, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1134665359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

Also ListedAcupuncturistTaxonomy 171100000X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

1900 CENTRACARE CIR, Saint Cloud, MN 56303

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Other Names 1

Doing Business AsCentracare Neurosciences Headache Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 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

1,050

Medicare enrollment records show 1,050 clinicians reassign Medicare billing to Centracare Clinic, which bills Medicare for the services they deliver. Of these, 78 practice at this address and 642 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 46

Nurse Practitioner199

Family Practice127

Certified Registered Nurse Anesthetist (CRNA)113

Internal Medicine104

Pediatric Medicine58

Physical Therapist in Private Practice51

Anesthesiology40

Obstetrics/Gynecology39

38 other specialties319

Nearest to this location (20)

See all 1,050

Hawo Abdirahman, CNP

Nurse Practitioner

NPI 1134928435

1900 CENTRACARE CIR
Saint Cloud, MN 56303

(320) 229-4916

✔ PECOS✔ Accepts MedicareSame address

Eyas Abla, M.D,

Internal Medicine

NPI 1134407430

1900 CENTRACARE CIR # 1300 CENTRACARE CLINIC WOMEN & CHILDREN, ALLERGY/IMMUNOLOGY
Saint Cloud, MN 56303

(320) 654-3650

✔ PECOS✔ Accepts MedicareSame address

Hani Alkhatib, MB, BCH

Hematology/Oncology

NPI 1750372900

1900 CENTRACARE CIR, #1600 CENTRACARE CLINIC HEALTH PLAZA SPECIALTY/ONCOLOGY
St Cloud, MN 56303

(320) 229-4907

✔ PECOS✔ Accepts MedicareSame address

Lindsay Anderson, PMHCNS-BC

Certified Clinical Nurse Specialist (CNS)

NPI 1477849222

1900 CENTRACARE CIR
Saint Cloud, MN 56303

(320) 229-4977

✔ PECOSSame address

Leah Arntson, APRN, CNP

Nurse Practitioner

NPI 1528799277

1900 CENTRACARE CIR
Saint Cloud, MN 56303

(320) 252-2422

✔ PECOS✔ Accepts MedicareSame address

Carrilyn Bechtold, OTR/L

Occupational Therapist in Private Practice

NPI 1316500648

1900 CENTRACARE CIR
Saint Cloud, MN 56303

(320) 229-4944

✔ Accepts MedicareSame address

Emily Brinker, MS, OTR/L

Occupational Therapist in Private Practice

NPI 1558073577

1900 CENTRACARE CIR STE 1550
Saint Cloud, MN 56303

(320) 229-4976

Same address

Ellen Brown, MD

Obstetrics/Gynecology

NPI 1437135027

1900 CENTRACARE CIR CENTRACARE CLINIC WOMEN AND CHILDREN'S OB/GYN
Saint Cloud, MN 56303

(320) 251-2700

✔ PECOS✔ Accepts MedicareSame address

Kendra Christiansen

Clinical Social Worker

NPI 1871466938

1900 CENTRACARE CIR STE 1300
Saint Cloud, MN 56303

(320) 656-3610

✔ PECOSSame address

Bethany Croyle

Obstetrics/Gynecology

NPI 1194301754

1900 CENTRACARE CIR STE 2300
Saint Cloud, MN 56303

(320) 654-3630

✔ PECOS✔ Accepts MedicareSame address

Paul Faybusovich, D.O

Internal Medicine

NPI 1497109219

1900 CENTRACARE CIR STE 1325
Saint Cloud, MN 56303

(320) 654-3650

✔ PECOS✔ Accepts MedicareSame address

Heenam Goel, M.B.B.S.

Endocrinology

NPI 1396128526

1900 CENTRACARE CIR STE 2500
Saint Cloud, MN 56303

(608) 263-6400

✔ PECOS✔ Accepts MedicareSame address

Anna Heiling, DPT

Physical Therapist in Private Practice

NPI 1588358022

1900 CENTRACARE CIR STE 1000
Saint Cloud, MN 56303

(320) 229-4976

Same address

Kimberly Hughes, MD

Pediatric Medicine

NPI 1689165987

1900 CENTRACARE CIR STE 1300
Saint Cloud, MN 56303

(320) 654-3610

✔ PECOS✔ Accepts MedicareSame address

Kelli Jensch, RD, LD

Registered Dietitian or Nutrition Professional

NPI 1134611049

1900 CENTRACARE CIR
Saint Cloud, MN 56303

(320) 229-4916

Same address

Megan Johnson, CCC-SLP

Qualified Speech Language Pathologist

NPI 1801365531

1900 CENTRACARE CIR STE 1575
Saint Cloud, MN 56303

(320) 229-4922

✔ Accepts MedicareSame address

George Morris, M.D.

Family Practice

NPI 1033288584

1900 CENTRACARE CIR STE 2650
Saint Cloud, MN 56303

(320) 253-2663

✔ PECOS✔ Accepts MedicareSame address

Kadir Mullings, MB.,BS

Radiation Oncology

NPI 1639611288

1900 CENTRACARE CIR
Saint Cloud, MN 56303

(320) 229-4907

✔ PECOS✔ Accepts MedicareSame address

Jessica Newman, M.D.

Dermatology

NPI 1295078913

1900 CENTRACARE CIR STE 2575
Saint Cloud, MN 56303

(320) 229-4924

✔ PECOS✔ Accepts MedicareSame address

Barbara Skodje-Mack, EDD, LMFT, LPCC

Marriage and Family Therapist

NPI 1609933498

1900 CENTRACARE CIR STE 1000
Saint Cloud, MN 56303

(320) 229-5199

✔ PECOSSame address

See all 1,050 clinicians

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

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 Centracare Clinic's NPI number?

The NPI number for Centracare Clinic is 1134665359. It was assigned to this organization in the NPPES registry on January 11, 2017. The provider is doing business as CentraCare Neurosciences Headache Center.

Where is Centracare Clinic located?

Centracare Clinic is located at 1900 Centracare Cir, Saint Cloud, MN 56303. The listed phone number is (320) 240-2829.

What is Centracare Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

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, 78 practice at this address and 642 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 54 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.