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CENTRACARE CLINIC
NPI 1164978219
Clinic/Center in Saint Cloud, MN

Active since August 29, 2016
3701 12TH ST N, SUITE 100, SAINT CLOUD, MN 56303(320) 253-7257(320) 251-2938 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, May 21, 2025, Nov 19, 2020 and 1 more (4 updates tracked since 2016).

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

NPI1164978219
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCENTRACARE CLINIC
Location Address3701 12TH ST N, SUITE 100Saint Cloud, MN 56303-2255
Mailing Address1200 6th Ave NSaint Cloud, MN 56303-2735 · (320) 252-5131 · Fax (320) 240-2118
Phone(320) 253-7257
Fax(320) 251-2938
Organization SubpartNo
Authorized OfficialMichael A BlairSr Vp & Cfo · (320) 255-5665
Enumeration DateAugust 29, 2016
Last NPPES UpdateJune 23, 20254 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1164978219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3701 12TH ST N, Saint Cloud, MN 56303
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Other Names 1

Doing Business AsCentracare - Midsota Plastic Surgery

Other Identifiers 6

Other6D053CEMN · Blue Cross Blue Shield
Other98-04122MN · Medica
OtherN002912MN · Champus
Other990228700MN · Medicaid
Other110890MN · Ucare
Other35580MN · Health Partners

Accepted Insurance

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

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
JOHN M HOULE MD
Surgery (Plastic and Reconstructive Surgery)
3701 12TH ST N, SUITE 100
ST CLOUD, MN 56303
Stearns County (320) 253-7257

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.

What insurance does Centracare Clinic accept?

Health plans from HealthPartners, Medica 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 13 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.