CAROL PENGSHUNG
NPI 1215625397
Hospitalist in Saint Cloud, MN
About Carol Pengshung NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL PENGSHUNG (NPI 1215625397) is an individual hospitalist provider in Saint Cloud, Minnesota, licensed in Minnesota (83506) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carol Pengshung is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
9Medicare enrollment records show Carol Pengshung reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Cloud, MN 56303
- Reassigned Medicare billing, Minnesota enrollment
- 1,051 clinicians in this Medicare group
Richmond, MN 56368
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1205269941 (Minnesota)
- 124 clinicians in this Medicare group
Monticello, MN 55362
- Reassigned Medicare billing, Minnesota enrollment
- 285 clinicians in this Medicare group
Melrose, MN 56352
- Reassigned Medicare billing, Minnesota enrollment
- 180 clinicians in this Medicare group
Sauk Centre, MN 56378
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1740553932 (Minnesota)
- 173 clinicians in this Medicare group
Long Prairie, MN 56347
- Reassigned Medicare billing, Minnesota enrollment
- 156 clinicians in this Medicare group
Willmar, MN 56201
- Reassigned Medicare billing, Minnesota enrollment
- 179 clinicians in this Medicare group
Benson, MN 56215
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1023728516 (Minnesota)
- 95 clinicians in this Medicare group
Redwood Falls, MN 56283
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1194206748 (Minnesota)
- 183 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT CLOUD, MN 56303
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 Carol Pengshung's NPI number?
The NPI number for Carol Pengshung is 1215625397. It was assigned to this individual provider in the NPPES registry on April 27, 2023.
Where is Carol Pengshung located?
Carol Pengshung practices at 1406 6th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 251-2700.
What is Carol Pengshung's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Carol Pengshung enrolled in Medicare?
Yes. Carol Pengshung is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Carol Pengshung's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Pengshung reassigns Medicare benefits to 9 organizations: Centracare Clinic (Saint Cloud, MN), Centracare Health-Paynesville LLC (Richmond, MN), Centracare Health System-Nr LLC (Monticello, MN), Centracare Health System - Melrose (Melrose, MN), Centracare Health System - Sauk Centre (Sauk Centre, MN) and 4 more organizations, listed in the Medicare section above. 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 Carol Pengshung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Pengshung accept?
Health plans from Medica list Carol Pengshung 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 Carol Pengshung was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Carol Pengshung · NPI 1215625397
Hospitalist physician in Saint Cloud, Minnesota. Individual provider, active in the CMS NPPES registry since April 27, 2023.
## Identity
- **NPI:** 1215625397 (Entity type: Individual)
- **Enumerated:** April 27, 2023
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 83506 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1406 6TH AVE N, Saint Cloud, MN 56303-1900
- **Phone:** (320) 251-2700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Centracare Clinic (NPI 1538696323, Saint Cloud, MN); Centracare Health-Paynesville LLC (NPI 1144653734, Richmond, MN); Centracare Health System-Nr LLC (NPI 1275872772, Monticello, MN); Centracare Health System - Melrose (NPI 1720045073, Melrose, MN); Centracare Health System - Sauk Centre (NPI 1578813762, Sauk Centre, MN); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215625397) · Data from the CMS NPPES public registry.