ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A.
NPI 1508882754
Otolaryngology in Saint Cloud, MN

Active since July 14, 2006CLIA 24D0405700 · Waiver
1528 NORTHWAY DR, SAINT CLOUD, MN 56303(320) 252-0233 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About St. Cloud Ear, Nose & Throat Clinic, P.a. NPPES

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

ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. (NPI 1508882754) is a healthcare organization registered as an otolaryngology in Saint Cloud, Minnesota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Amanda Rae Ressemann, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508882754
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameST. CLOUD EAR, NOSE & THROAT CLINIC, P.A.
Location Address1528 NORTHWAY DRSaint Cloud, MN 56303-1255
Mailing Address1528 Northway DrSaint Cloud, MN 56303-1255 · (320) 252-0233
Organization SubpartNo
Authorized OfficialAmanda Rae RessemannBusiness Office Manager · (320) 257-1167
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 3, 2025
NPPES CertifiedJuly 3, 2025
NPI 1508882754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1528 NORTHWAY DR, Saint Cloud, MN 56303

Other Names 1

Other NameSt. Cloud Ear, Nose & Throat - Head & Neck Clinic

Other Identifiers 2

Other55319CLMN · Blue Cross Blue Shield
Medicaid508208100MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0405700

St Cloud Ear Nose Throat Neck & Head · Saint Cloud, MN
Active · expires Jan 31, 2028
CLIA Number24D0405700
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorEmily Jacobs
Laboratory Phone(320) 252-0233
Laboratory LocationSt Cloud Ear Nose Throat Neck & Head1528 Northway Drive, Saint Cloud, MN 56303
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Otolaryngology
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Clinic/Center (Ambulatory Surgical)
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Audiologist
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Otolaryngology
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Audiologist
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Otolaryngology
1528 NORTHWAY DR
SAINT CLOUD, MN 56303
Audiologist
1528 NORTHWAY DR
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 St. Cloud Ear, Nose & Throat Clinic, P.A.'s NPI number?

The NPI number for St. Cloud Ear, Nose & Throat Clinic, P.A. is 1508882754. It was assigned to this organization in the NPPES registry on July 14, 2006. The provider is also known as St. Cloud Ear, Nose & Throat - Head & Neck Clinic.

Where is St. Cloud Ear, Nose & Throat Clinic, P.A. located?

St. Cloud Ear, Nose & Throat Clinic, P.A. is located at 1528 Northway Dr, Saint Cloud, MN 56303. The listed phone number is (320) 252-0233.

What is St. Cloud Ear, Nose & Throat Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Does St. Cloud Ear, Nose & Throat Clinic, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0405700) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St. Cloud Ear, Nose & Throat Clinic, P.A. accept?

Health plans from HealthPartners and Medica list St. Cloud Ear, Nose & Throat Clinic, P.A. 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 St. Cloud Ear, Nose & Throat Clinic, P.A. was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.