CENTRACARE CLINIC
NPI 1164978219
Clinic/Center in Saint Cloud, MN
About Centracare Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRACARE CLINIC (NPI 1164978219), doing business as Centracare - Midsota Plastic Surgery, is a healthcare organization registered as a clinic/center in Saint Cloud, Minnesota and active in the NPI registry since August 2016. The organization lists Michael A Blair, Sr Vp & Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 6
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 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 Clinic, which bills Medicare for the services they deliver. Of these, 51 practice at this address and 642 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 1,050Saint Cloud, MN 56303
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 1164978219. It was assigned to this organization in the NPPES registry on August 29, 2016. The provider is doing business as CentraCare - Midsota Plastic Surgery.
Where is Centracare Clinic located?
Centracare Clinic is located at 3701 12th St N Suite 100, Saint Cloud, MN 56303. The listed phone number is (320) 253-7257.
What is Centracare Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
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, 51 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 June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Centracare Clinic · NPI 1164978219
Clinic/Center organization in Saint Cloud, Minnesota. Organization record, active in the CMS NPPES registry since August 29, 2016.
## Identity
- **NPI:** 1164978219 (Entity type: Organization)
- **Enumerated:** August 29, 2016
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** CentraCare - Midsota Plastic Surgery (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Michael Blair, SR VP & CFO
## Practice location
- **Address:** 3701 12TH ST N, SUITE 100, Saint Cloud, MN 56303-2255
- **Phone:** (320) 253-7257 · **Fax:** (320) 251-2938
## 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); 51 practice at this address and 642 within 10 miles; [full list](https://npiprofile.com/npi/1164978219/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2025
- **Other identifiers:** Other 6D053CE (MN); Other 98-04122 (MN); Other N002912 (MN); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1164978219) · Data from the CMS NPPES public registry.