CENTRACARE CLINIC
NPI 1659425114
Clinic/Center - Primary Care in St Cloud, MN
About Centracare Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRACARE CLINIC (NPI 1659425114), doing business as Centracare - Plaza Clinic (internal Medicine), is a healthcare organization registered as a primary care in St Cloud, Minnesota and active in the NPI registry since January 2007. The organization lists Michael A Blair, Sr Vp & Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centracare Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
1,050Medicare enrollment records show 1,050 clinicians reassign Medicare billing to Centracare 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
Nearest to this location (20)
See all 1,050Saint Cloud, MN 56303
St Cloud, MN 56303
Saint Cloud, MN 56303
Saint Cloud, MN 56303
Saint Cloud, MN 56303
Saint Cloud, MN 56303
Saint Cloud, MN 56303
Saint Cloud, MN 56303
Saint Cloud, MN 56303
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1659425114. It was assigned to this organization in the NPPES registry on January 22, 2007. The provider is doing business as CentraCare - Plaza Clinic (Internal Medicine).
Where is Centracare Clinic located?
Centracare Clinic is located at 1900 Centracare Circle Centracare Clinic Internal Medicine, St Cloud, MN 56303. The listed phone number is (320) 229-4928.
What is Centracare Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Centracare Clinic enrolled in Medicare?
Yes. Centracare Clinic is registered in the Medicare PECOS enrollment system.
When is Centracare Clinic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Minnesota, Multi-Specialty - Physician) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
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.
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 September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.
# Centracare Clinic · NPI 1659425114
Primary Care organization in St Cloud, Minnesota. Organization record, active in the CMS NPPES registry since January 22, 2007.
## Identity
- **NPI:** 1659425114 (Entity type: Organization)
- **Enumerated:** January 22, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** CentraCare - Plaza Clinic (Internal Medicine) (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Michael Blair, SR VP & CFO
## Practice location
- **Address:** 1900 CENTRACARE CIRCLE, CENTRACARE CLINIC INTERNAL MEDICINE, St Cloud, MN 56303
- **Phone:** (320) 229-4928
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (DME, Minnesota, Multi-Specialty - Physician) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1,050 clinicians in 46 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (199), Family Practice (127), Certified Registered Nurse Anesthetist (CRNA) (113); 78 practice at this address and 642 within 10 miles; [full list](https://npiprofile.com/npi/1659425114/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2026
- **Other identifiers:** Medicaid 052720300 (MN); Medicaid 990228700 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1659425114) · Data from the CMS NPPES public registry.