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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHYSICIAN MANAGEMENT SERVICES OF MINNESOTA, LLC
NPI 1699413187
Family Medicine in Saint Cloud, MN

Active since May 24, 2022
3290 42ND AVE S, SAINT CLOUD, MN 56301(888) 829-8550 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2026, May 21, 2026, May 24, 2022 (3 updates tracked since 2022).

About Physician Management Services Of Minnesota, Llc NPPES

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

PHYSICIAN MANAGEMENT SERVICES OF MINNESOTA, LLC (NPI 1699413187) is a healthcare organization registered as a family medicine in Saint Cloud, Minnesota and active in the NPI registry since May 2022. The organization lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1699413187
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN MANAGEMENT SERVICES OF MINNESOTA, LLC
Location Address3290 42ND AVE SSaint Cloud, MN 56301-6251
Mailing Address800 N Magnolia Ave Ste 700Orlando, FL 32803-3264
Phone(888) 829-8550
Organization SubpartYesParent: Vaxcare Corporation
Authorized OfficialBrett KenefickPresident · (888) 829-8550
Enumeration DateMay 24, 2022
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1699413187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3290 42ND AVE S, Saint Cloud, MN 56301
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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

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

Other Providers at the Same Location NPPES 4

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

KIMBERLY MARIE DODDS-THOMPSON RDN, LD, CDCES
Dietitian, Registered
3290 42ND AVE S
SAINT CLOUD, MN 56301
Stearns County (320) 227-5000
ALEXIS BANKS FNP-BC, CDCES
Nurse Practitioner
3290 42ND AVE S
SAINT CLOUD, MN 56301
Stearns County (320) 227-5000
DR. KOURTNEY N BRADFORD SEUBERT MD
Family Medicine
3290 42ND AVE S
SAINT CLOUD, MN 56301
Stearns County (320) 227-5000
JULIE ANDERSON MD
Family Medicine
3290 42ND AVE S
SAINT CLOUD, MN 56301
Stearns County (320) 227-5000

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 Physician Management Services Of Minnesota, LLC's NPI number?

The NPI number for Physician Management Services Of Minnesota, LLC is 1699413187. It was assigned to this organization in the NPPES registry on May 24, 2022.

Where is Physician Management Services Of Minnesota, LLC located?

Physician Management Services Of Minnesota, LLC is located at 3290 42nd Ave S, Saint Cloud, MN 56301. The listed phone number is (888) 829-8550.

What is Physician Management Services Of Minnesota, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Physician Management Services Of Minnesota, LLC accept?

Health plans from Medica list Physician Management Services Of Minnesota, LLC 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 Physician Management Services Of Minnesota, LLC was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.