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KENNETH LEGAN PA-C
NPI 1487682704
Physician Assistant - Medical in Saint Cloud, MN

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
251 COUNTY ROAD 120, SAINT CLOUD, MN 56303(320) 202-8949(320) 202-0756 Get Directions Write a Review

NPPES record last updated: September 26, 2008. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Kenneth Legan Pa-c NPPES

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

KENNETH LEGAN PA-C (NPI 1487682704) is an individual medical provider in Saint Cloud, Minnesota, licensed in Minnesota (9515) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Centracare Health Paynesville Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1487682704
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKENNETH LEGANCredential: PA-C
Location Address251 COUNTY ROAD 120Saint Cloud, MN 56303-4872
Mailing Address251 County Road 120Saint Cloud, MN 56303-4872 · (320) 202-8949 · Fax (320) 202-0756
Phone(320) 202-8949
Fax(320) 202-0756
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 28, 2006
Last NPPES UpdateSeptember 26, 2008
✔ NPI 1487682704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MN · 9515
251 COUNTY ROAD 120, Saint Cloud, MN 56303
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINP16484MN
Medicare ID-Type Unspecified970002480MN
Medicaid332145200MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Legan Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002870243
PECOS Enrollment IDI20041117000226
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Centracare Health Paynesville Hospital

Critical Access Hospitals · Paynesville, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241349
Location200 1st Street WestPaynesville, MN 56362 · Stearns County
Emergency services Birthing friendly

Mille Lacs Health System

Critical Access Hospitals · Onamia, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241356
Location200 North Elm StreetOnamia, MN 56359 · Mille Lacs County
Emergency services

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.

MR. JOHN THOMAS HARDMAN PA-C
Physician Assistant (Medical)
251 COUNTY ROAD 120
SAINT CLOUD, MN 56303
Stearns County (320) 202-8949
FILIP LEE JOHNSON P.T.
Physical Therapist
251 COUNTY ROAD 120, SUITE A
ST CLOUD, MN 56303
Stearns County (320) 259-5429
DR. PAUL EUGENE UNDERSANDER DC
Chiropractor
251 COUNTY ROAD 120, SUITE B
SAINT CLOUD, MN 56303
Stearns County (320) 252-3711
MR. TIMOTHY RYAN RYSAVY PSYD, LP
Psychologist
251 COUNTY ROAD 120
ST. CLOUD, MN 56303
Stearns County (320) 258-3833
STEVEN WENO M.D.
Family Medicine
251 COUNTY ROAD 120
SAINT CLOUD, MN 56303
Stearns County (320) 202-8949
PAUL THOMAS TEMBROCK PT
Physical Therapist
251 COUNTY ROAD 120, SUITE A
SAINT CLOUD, MN 56303
Stearns County (320) 259-5429
DR. MELISSA M ENSIGN MD
Family Medicine
251 COUNTY ROAD 120, SAINT CLOUD MEDICAL GROUP
SAINT CLOUD, MN 56303
Stearns County (320) 529-4731
JAREN STEVEN LUKACH CNP
Nurse Practitioner (Family)
251 COUNTY ROAD 120
SAINT CLOUD, MN 56303
Stearns County (320) 529-4741

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 Kenneth Legan's NPI number?

The NPI number for Kenneth Legan is 1487682704. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Kenneth Legan located?

Kenneth Legan practices at 251 County Road 120, Saint Cloud, MN 56303. The listed phone number is (320) 202-8949.

What is Kenneth Legan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kenneth Legan enrolled in Medicare?

Yes. Kenneth Legan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Legan accept?

Health plans from Medica list Kenneth Legan 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.

Is Kenneth Legan affiliated with any hospitals?

According to CMS data, Kenneth Legan is affiliated with Centracare Health Paynesville Hospital and Mille Lacs Health System.

When was this NPI record last updated?

The NPPES record for Kenneth Legan was last updated on September 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.