CENTRACARE - PLAZA CLINIC
NPI 1407858020
Clinic/Center - Multi-Specialty in Saint Cloud, MN

Active since August 12, 2005
1900 CENTRACARE CIR, CENTRACARE CLINIC HEALTH PLAZA, SAINT CLOUD, MN 56303(320) 252-2422 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2020, Jul 15, 2020 (2 updates tracked since 2020).

About Centracare - Plaza Clinic NPPES

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

CENTRACARE - PLAZA CLINIC (NPI 1407858020) is a healthcare organization registered as a multi-specialty in Saint Cloud, Minnesota and active in the NPI registry since August 2005. The organization lists Michael A Blair, Sr Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1407858020
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCENTRACARE CLINIC
Location Address1900 CENTRACARE CIR, CENTRACARE CLINIC HEALTH PLAZASaint Cloud, MN 56303-5000
Mailing Address1200 6th Ave NSaint Cloud, MN 56303-2736 · (320) 229-4977
Organization SubpartYes
Authorized OfficialMichael A BlairSr Vp & Cfo · (320) 255-5665
Enumeration DateAugust 12, 2005
Last NPPES UpdateNovember 19, 20202 updates tracked since enumeration
NPPES CertifiedNovember 19, 2020
✔ NPI 1407858020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in MN · 411086657
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1900 CENTRACARE CIR, Saint Cloud, MN 56303

Other Names 1

Doing Business AsCentracare - Plaza Clinic

Other Identifiers 7

Other98-00211Medica
Other170317Ucare
OtherNA356Pref One
Medicaid052720300MN
Other35580Health Partners
Medicaid052720303MN
Other498R1CEBcbs

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 - Plaza 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 - Plaza 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
Nurse Practitioner
NPI 1134928435
1900 CENTRACARE CIR
Saint Cloud, MN 56303
(320) 229-4916
✔ PECOS✔ Accepts MedicareSame address
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
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
Certified Clinical Nurse Specialist (CNS)
NPI 1477849222
1900 CENTRACARE CIR
Saint Cloud, MN 56303
(320) 229-4977
✔ PECOSSame address
Nurse Practitioner
NPI 1528799277
1900 CENTRACARE CIR
Saint Cloud, MN 56303
(320) 252-2422
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1316500648
1900 CENTRACARE CIR
Saint Cloud, MN 56303
(320) 229-4944
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1558073577
1900 CENTRACARE CIR STE 1550
Saint Cloud, MN 56303
(320) 229-4976
Same address
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
Clinical Social Worker
NPI 1871466938
1900 CENTRACARE CIR STE 1300
Saint Cloud, MN 56303
(320) 656-3610
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1194301754
1900 CENTRACARE CIR STE 2300
Saint Cloud, MN 56303
(320) 654-3630
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1497109219
1900 CENTRACARE CIR STE 1325
Saint Cloud, MN 56303
(320) 654-3650
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1396128526
1900 CENTRACARE CIR STE 2500
Saint Cloud, MN 56303
(608) 263-6400
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1588358022
1900 CENTRACARE CIR STE 1000
Saint Cloud, MN 56303
(320) 229-4976
Same address
Pediatric Medicine
NPI 1689165987
1900 CENTRACARE CIR STE 1300
Saint Cloud, MN 56303
(320) 654-3610
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1134611049
1900 CENTRACARE CIR
Saint Cloud, MN 56303
(320) 229-4916
Same address
Qualified Speech Language Pathologist
NPI 1801365531
1900 CENTRACARE CIR STE 1575
Saint Cloud, MN 56303
(320) 229-4922
✔ Accepts MedicareSame address
Family Practice
NPI 1033288584
1900 CENTRACARE CIR STE 2650
Saint Cloud, MN 56303
(320) 253-2663
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1639611288
1900 CENTRACARE CIR
Saint Cloud, MN 56303
(320) 229-4907
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1295078913
1900 CENTRACARE CIR STE 2575
Saint Cloud, MN 56303
(320) 229-4924
✔ PECOS✔ Accepts MedicareSame address
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.

Medical Equipment Supplier Medicare DMEPOS 22

Medicare supplier enrollment and the product categories Centracare Clinic carries, from the Medicare DMEPOS supplier directory.

Centracare Clinic

DMEPOS supplier · Saint Cloud, MN
✔

Accepts Medicare assignment

Centracare Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20670563
Medicare Participant SinceJanuary 1, 1994
Supplier Location1200 6th Ave NSaint Cloud, MN 56303
Provider TypeOxygen & Equipment · Multi-Specialty - Physician

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1407858020. It was assigned to this organization in the NPPES registry on August 12, 2005. The provider is doing business as Centracare - Plaza Clinic.

Where is Centracare Clinic located?

Centracare Clinic is located at 1900 Centracare Cir Centracare Clinic Health Plaza, Saint Cloud, MN 56303. The listed phone number is (320) 252-2422.

What is Centracare Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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.

Does Centracare Clinic accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Centracare Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.