CENTRACARE HEALTH PAYNESVILLE - RICHMOND CLINIC
NPI 1144653734
Clinic/Center - Rural Health in Richmond, MN

Active since August 19, 2013CLIA 24D0406030 · Certificate of Compliance
130 1ST ST NE, RICHMOND, MN 56368(320) 597-2122(320) 597-2102 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2019, Oct 9, 2018, Jun 15, 2017 (3 updates tracked since 2017).

About Centracare Health Paynesville - Richmond Clinic NPPES

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

CENTRACARE HEALTH PAYNESVILLE - RICHMOND CLINIC (NPI 1144653734) is a healthcare organization registered as a rural health in Richmond, Minnesota and active in the NPI registry since August 2013. The organization holds a CLIA Certificate of Compliance certificate valid through April 24, 2027 and lists Michael A. Blair, Sr. Vice President And Cfo, as its authorized official.

NPPES Registry Identity

NPI1144653734
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCENTRACARE HEALTH-PAYNESVILLE LLC
Location Address130 1ST ST NERichmond, MN 56368-8183
Mailing Address200 W 1st StPaynesville, MN 56362-1445 · (320) 243-3767 · Fax (320) 243-7955
Fax(320) 597-2102
Organization SubpartNo
Authorized OfficialMichael A. BlairSr. Vice President And Cfo · (320) 255-5665
Enumeration DateAugust 19, 2013
Last NPPES UpdateOctober 10, 20193 updates tracked since enumeration
✔ NPI 1144653734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Critical Access HospitalTaxonomy 261QC0050X
130 1ST ST NE, Richmond, MN 56368

Other Names 1

Doing Business AsCentracare Health Paynesville - Richmond Clinic

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 Health Paynesville - Richmond Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

123

Medicare enrollment records show 123 clinicians reassign Medicare billing to Centracare Health Paynesville - Richmond Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Family Practice26
Internal Medicine26
Nurse Practitioner25
General Surgery17
Hospitalist12
Emergency Medicine6
Certified Registered Nurse Anesthetist (CRNA)4
Vascular Surgery2
5 other specialties5

Nearest to this location (20)

See all 123
Nurse Practitioner
NPI 1154160422
130 1ST ST NE
Richmond, MN 56368
(320) 597-2122
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225449192
CENTRACARE HEALTH PAYNESVILLE HOSPITAL 200 W 1ST ST
Paynesville, MN 56362
(320) 243-3767
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1174055321
200 W 1ST STREET
Paynesville, MN 56362
(320) 243-3767
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1578275798
200 W 1ST ST
Paynesville, MN 56362
(320) 243-3767
✔ PECOS11 mi
Family Practice
NPI 1548277668
200 W 1ST ST
Paynesville, MN 56362
(320) 243-3779
✔ PECOS✔ Accepts Medicare11 mi
Registered Dietitian or Nutrition Professional
NPI 1144288754
200 W 1ST ST
Paynesville, MN 56362
(320) 243-7713
11 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1801226923
1769 POPPY RD
Saint Cloud, MN 56303
(320) 266-1977
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1134118920
1200 SIXTH AVE N
St Cloud, MN 56303
(320) 251-2700
✔ PECOS✔ Accepts Medicare17 mi
Internal Medicine
NPI 1124258686
1200 SIXTH AVE N CENTRACARE CLINIC
St Cloud, MN 56303
(320) 251-2700
✔ PECOS✔ Accepts Medicare17 mi
Urology
NPI 1891739538
2351 CONNECTICUT AVE S SUITE 200
Sartell, MN 56377
(320) 259-1411
✔ PECOS✔ Accepts Medicare18 mi
General Surgery
NPI 1518285816
1200 6TH AVE N
Saint Cloud, MN 56303
(320) 252-3342
✔ PECOS✔ Accepts Medicare19 mi
Hospitalist
NPI 1861888653
1200 6TH AVE N
Saint Cloud, MN 56303
(320) 252-5131
✔ PECOS✔ Accepts Medicare19 mi
General Surgery
NPI 1891227971
1200 6TH AVE N
Saint Cloud, MN 56303
(320) 252-3342
✔ PECOS✔ Accepts Medicare19 mi
Hospitalist
NPI 1962143156
1200 6TH AVE N
Saint Cloud, MN 56303
(320) 251-2700
✔ PECOS✔ Accepts Medicare19 mi
Vascular Surgery
NPI 1699776310
1200 6TH AVE N CENTRACARE CLINIC
Saint Cloud, MN 56303
(320) 252-3342
✔ PECOS✔ Accepts Medicare19 mi
Vascular Surgery
NPI 1053650630
1200 6TH AVE. N.
St. Cloud, MN 56303
(320) 252-3342
✔ PECOS✔ Accepts Medicare19 mi
Emergency Medicine
NPI 1235102039
1406 6TH AVE N
Saint Cloud, MN 56303
(320) 255-5657
✔ PECOS✔ Accepts Medicare19 mi
Hospice/Palliative Care
NPI 1073962395
1406 6TH AVE N
Saint Cloud, MN 56303
(320) 251-2700
✔ PECOS✔ Accepts Medicare19 mi
Anesthesiology
NPI 1255656997
1406 6TH AVE N
Saint Cloud, MN 56303
(320) 258-3090
✔ PECOS✔ Accepts Medicare19 mi
Emergency Medicine
NPI 1346217874
1406 6 AVE N
St Cloud, MN 56301
(320) 255-5657
✔ PECOS20 mi
See all 123 clinicians

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 24D0406030

Centracare Health Paynesville - Richmond Clinic · Richmond, MN
Active · expires Apr 24, 2027
CLIA Number24D0406030
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorErin Jager
Laboratory Phone(320) 243-7707
Laboratory LocationCentracare Health Paynesville - Richmond Clinic130 First St NE, Richmond, MN 56368
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Health-Paynesville LLC's NPI number?

The NPI number for Centracare Health-Paynesville LLC is 1144653734. It was assigned to this organization in the NPPES registry on August 19, 2013. The provider is doing business as Centracare Health Paynesville - Richmond Clinic.

Where is Centracare Health-Paynesville LLC located?

Centracare Health-Paynesville LLC is located at 130 1st St NE, Richmond, MN 56368. The listed phone number is (320) 597-2122.

What is Centracare Health-Paynesville LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Centracare Health-Paynesville LLC enrolled in Medicare?

Yes. Centracare Health-Paynesville LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centracare Health-Paynesville LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 123 clinicians in 13 Medicare specialties reassign their Medicare billing to Centracare Health-Paynesville LLC. 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 Family Practice (26), Internal Medicine (26) and Nurse Practitioner (25). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Centracare Health-Paynesville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D0406030) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Centracare Health-Paynesville LLC accept?

Health plans from HealthPartners and Sanford Health Plan list Centracare Health-Paynesville LLC 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 Health-Paynesville LLC was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.