CENTRACARE HEALTH PAYNESVILLE - EDEN VALLEY CLINIC
NPI 1700219383
Clinic/Center in Eden Valley, MN

Q: What is Centracare Health-Paynesville LLC's NPI number?

The NPI number for Centracare Health-Paynesville LLC is 1700219383. It was assigned to this organization in the NPPES registry on August 19, 2013. The provider is doing business as Centracare Health Paynesville - Eden Valley Clinic.

Q: What is Centracare Health-Paynesville LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since August 19, 2013

405 MEEKER AVE E, EDEN VALLEY, MN 55329(320) 453-2260(320) 453-2270 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 10, 2019, Oct 16, 2018, Jun 15, 2017 (3 updates tracked since 2017).

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About Centracare Health Paynesville - Eden Valley Clinic NPPES

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

CENTRACARE HEALTH PAYNESVILLE - EDEN VALLEY CLINIC (NPI 1700219383) is a healthcare organization registered as a clinic/center in Eden Valley, Minnesota and active in the NPI registry since August 2013. The organization lists Michael A. Blair, Sr. Vice President And Cfo, as its authorized official.

NPPES Registry Identity

NPI1700219383

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCENTRACARE HEALTH-PAYNESVILLE LLC

Location Address405 MEEKER AVE EEden Valley, MN 55329-1629

Mailing Address200 W 1st StPaynesville, MN 56362-1445 · (320) 243-3767 · Fax (320) 243-7955

Phone(320) 453-2260

Fax(320) 453-2270

Organization SubpartNo

Authorized OfficialMichael A. BlairSr. Vice President And Cfo · (320) 255-5665

Enumeration DateAugust 19, 2013

Last NPPES UpdateOctober 10, 20193 updates tracked since enumeration

✔ NPI 1700219383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

405 MEEKER AVE E, Eden Valley, MN 55329

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Other Names 1

Doing Business AsCentracare Health Paynesville - Eden Valley Clinic

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 Health Paynesville - Eden Valley Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

123

Medicare enrollment records show 123 clinicians reassign Medicare billing to Centracare Health Paynesville - Eden Valley Clinic, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Family Practice26

Internal Medicine26

Nurse Practitioner25

General Surgery17

Hospitalist12

Emergency Medicine6

Certified Registered Nurse Anesthetist (CRNA)4

Vascular Surgery2

5 other specialties5

Nearest to this location (20)

See all 123

Melissa Dols, RD, LD, CDE

Registered Dietitian or Nutrition Professional

NPI 1144288754

200 W 1ST ST
Paynesville, MN 56362

(320) 243-7713

8.8 mi

Kurt Habben, M.D.

Family Practice

NPI 1972794865

200 W 1ST ST
Paynesville, MN 56362

(320) 243-3767

✔ PECOS✔ Accepts Medicare8.8 mi

Ginelle Buerman, MD

Family Practice

NPI 1174055321

200 W 1ST STREET
Paynesville, MN 56362

(320) 243-3767

✔ PECOS✔ Accepts Medicare8.8 mi

Michael Kihiu, CNP

Nurse Practitioner

NPI 1578275798

200 W 1ST ST
Paynesville, MN 56362

(320) 243-3767

✔ PECOS8.8 mi

Timothy Malling, M.D

Family Practice

NPI 1548277668

200 W 1ST ST
Paynesville, MN 56362

(320) 243-3779

✔ PECOS✔ Accepts Medicare8.8 mi

Lawrence Strate, M.D.,

Family Practice

NPI 1124052782

200 W 1ST ST
Paynesville, MN 56362

(320) 243-3763

✔ PECOS8.8 mi

Julie Youngs, MD

Family Practice

NPI 1538136882

200 W 1ST ST
Paynesville, MN 56362

(320) 243-3767

✔ PECOS✔ Accepts Medicare8.8 mi

Randall Zimmerman, M.D.

Family Practice

NPI 1821005638

200 W 1ST ST
Paynesville, MN 56362

(320) 243-3779

✔ PECOS✔ Accepts Medicare8.8 mi

Christopher Anderson, MD

Family Practice

NPI 1447679188

200 W 1ST ST
Paynesville, MN 56362

(320) 243-3767

✔ PECOS✔ Accepts Medicare8.8 mi

Miranda Proell, CNP

Nurse Practitioner

NPI 1154160422

130 1ST ST NE
Richmond, MN 56368

(320) 597-2122

✔ PECOS✔ Accepts Medicare9.3 mi

Timothy Peterson, MD

General Surgery

NPI 1306055355

520 SOUTH SIBLEY AVE AFFILIATED COMMUNITY MEDICAL CENTERS
Litchfield, MN 55355

(320) 693-3233

✔ PECOS✔ Accepts Medicare14 mi

Alicia Glimsdal, APRN, CNP

Nurse Practitioner

NPI 1225449192

CENTRACARE HEALTH PAYNESVILLE HOSPITAL 200 W 1ST ST
Paynesville, MN 56362

(320) 243-3767

✔ PECOS✔ Accepts Medicare16 mi

Richard Wehseler, MD

Emergency Medicine

NPI 1609842335

600 PETERSON PKWY
New London, MN 56273

(320) 354-2222

✔ PECOS✔ Accepts Medicare19 mi

Braniesney Guevara, DNP, APRN, FNP-BC

Nurse Practitioner

NPI 1922674522

1119 CHERRYWOOD CT
Waite Park, MN 56387

(612) 393-6636

✔ PECOS✔ Accepts Medicare22 mi

Lindsey Beckman

Nurse Practitioner

NPI 1013686955

1301 33RD ST S
Saint Cloud, MN 56301

(701) 373-1826

✔ PECOS✔ Accepts Medicare23 mi

Scott Bertram, RN

Certified Registered Nurse Anesthetist (CRNA)

NPI 1801226923

1769 POPPY RD
Saint Cloud, MN 56303

(320) 266-1977

✔ PECOS✔ Accepts Medicare23 mi

Paul Marek, MD, FHM

Internal Medicine

NPI 1134118920

1200 SIXTH AVE N
St Cloud, MN 56303

(320) 251-2700

✔ PECOS✔ Accepts Medicare24 mi

Jessie Roske, MD

Internal Medicine

NPI 1124258686

1200 SIXTH AVE N CENTRACARE CLINIC
St Cloud, MN 56303

(320) 251-2700

✔ PECOS✔ Accepts Medicare24 mi

Christopher Wieland, MD

Internal Medicine

NPI 1093025801

1200 SIXTH AVE N CENTRACARE CLINIC
St Cloud, MN 56303

(320) 251-2700

✔ PECOS✔ Accepts Medicare24 mi

Gregory Parries, MD

Urology

NPI 1891739538

2351 CONNECTICUT AVE S SUITE 200
Sartell, MN 56377

(320) 259-1411

✔ PECOS✔ Accepts Medicare25 mi

See all 123 clinicians

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 Health-Paynesville LLC's NPI number?

The NPI number for Centracare Health-Paynesville LLC is 1700219383. It was assigned to this organization in the NPPES registry on August 19, 2013. The provider is doing business as Centracare Health Paynesville - Eden Valley Clinic.

Where is Centracare Health-Paynesville LLC located?

Centracare Health-Paynesville LLC is located at 405 Meeker Ave E, Eden Valley, MN 55329. The listed phone number is (320) 453-2260.

What is Centracare Health-Paynesville LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Centracare Health-Paynesville LLC enrolled in Medicare?

Yes. Centracare Health-Paynesville LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centracare Health-Paynesville LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 123 clinicians in 13 Medicare specialties reassign their Medicare billing to Centracare Health-Paynesville LLC. 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 Family Practice (26), Internal Medicine (26) and Nurse Practitioner (25). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Centracare Health-Paynesville LLC was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.