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

CENTRACARE CLINIC
NPI 1710048590
Clinic/Center - Multi-Specialty in Becker, MN

Active since December 13, 2006CLIA 24D0927853 · Certificate of Compliance
12800 ROLLING RIDGE RD, BECKER, MN 55308(763) 261-7000 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2026, Jun 23, 2025, Nov 19, 2020 (3 updates tracked since 2020).

About Centracare Clinic NPPES

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

CENTRACARE CLINIC (NPI 1710048590), doing business as Centracare - Becker Clinic, is a healthcare organization registered as a multi-specialty in Becker, Minnesota and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 25, 2027 and lists Michael A Blair, Sr Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1710048590
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCENTRACARE CLINIC
Location Address12800 ROLLING RIDGE RDBecker, MN 55308-8838
Mailing AddressPo Box 735818Chicago, IL 60673-5818 · (320) 251-2700
Organization SubpartYes
Authorized OfficialMichael A BlairSr Vp & Cfo · (320) 255-5665
Enumeration DateDecember 13, 2006
Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1710048590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
12800 ROLLING RIDGE RD, Becker, MN 55308

Other Names 1

Doing Business AsCentracare - Becker Clinic

Other Identifiers 6

OtherNA197Pref One
Other35580Health Partners
Other98-00379Medica
Other86D71CEBcbs
Medicaid990228700MN
Other120173Ucare

Accepted Insurance

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 Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,050

Medicare enrollment records show 1,050 clinicians reassign Medicare billing to Centracare Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 46

Nurse Practitioner199
Family Practice127
Certified Registered Nurse Anesthetist (CRNA)113
Internal Medicine104
Pediatric Medicine58
Physical Therapist in Private Practice51
Anesthesiology40
Obstetrics/Gynecology39
38 other specialties319

Nearest to this location (20)

See all 1,050
Family Practice
NPI 1336120971
12800 ROLLING RIDGE CENTRACARE CLINIC - BECKER FAMILY MEDICINE
Becker, MN 55308
(763) 261-7000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1538141908
12800 ROLLING RIDGE RD CENTRACARE CLINIC
Becker, MN 55308
(763) 261-7000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033632062
12800 ROLLING RIDGE RD
Becker, MN 55308
(763) 261-7000
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1114074150
12800 ROLLING RIDGE CENTRACARE CLINIC BECKER
Becker, MN 55308
(763) 261-7000
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1255116554
1001 HART BLVD STE 100
Monticello, MN 55362
(763) 295-2921
✔ PECOS✔ Accepts Medicare7.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811003478
1013 HART BLVD
Monticello, MN 55362
(763) 295-2945
✔ PECOS7.3 mi
Nurse Practitioner
NPI 1013437110
1107 HART BLVD
Monticello, MN 55362
(763) 271-2200
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1568845238
1107 HART BLVD
Monticello, MN 55362
(763) 271-2200
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1598140881
1107 HART BLVD
Monticello, MN 55362
(763) 271-2200
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1417539057
4902 115TH AVE
Clear Lake, MN 55319
(320) 333-6109
✔ PECOS✔ Accepts Medicare8.2 mi
Family Practice
NPI 1043479876
16830 198TH AVE NW BIG LAKE CLINIC
Big Lake, MN 55309
(763) 263-7300
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1831501204
20029 JANUARY ST
Big Lake, MN 55309
(712) 260-2672
✔ PECOS✔ Accepts Medicare9.3 mi
Family Practice
NPI 1528649837
615 NELSON DR
Clearwater, MN 55320
(320) 558-2293
✔ PECOS✔ Accepts Medicare9.4 mi
Family Practice
NPI 1982648671
615 NELSON DRIVE
Clearwater, MN 55320
(320) 558-2293
✔ PECOS✔ Accepts Medicare9.4 mi
Family Practice
NPI 1942457098
615 NELSON DR
Clearwater, MN 55320
(320) 558-2293
✔ PECOS✔ Accepts Medicare9.4 mi
Gastroenterology
NPI 1720098932
1700 HIGHWAY 25 N
Buffalo, MN 55313
(612) 414-1033
✔ PECOS✔ Accepts Medicare13 mi
Pediatric Medicine
NPI 1245204346
290 MAIN ST NW SUITE 100
Elk River, MN 55330
(763) 241-5805
✔ PECOS✔ Accepts Medicare16 mi
Obstetrics/Gynecology
NPI 1699949776
290 MAIN ST NW SUITE 100
Elk River, MN 55330
(763) 241-0373
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1093195489
CENTRACARE CLINIC ST CLOUD MEDICAL GROUP SOUTH 1301 33RD ST S
Saint Cloud, MN 56301
(320) 251-8181
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1013686955
1301 33RD ST S
Saint Cloud, MN 56301
(701) 373-1826
✔ PECOS✔ Accepts Medicare17 mi
See all 1,050 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Compliance 24D0927853

Centracare - Becker Clinic · Becker, MN
Active · expires Jun 25, 2027
CLIA Number24D0927853
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorBrian L. Mackenzii
Laboratory Phone(763) 271-2819
Laboratory LocationCentracare - Becker Clinic12800 Rolling Ridge Rd, Becker, MN 55308
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 1710048590. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as CentraCare - Becker Clinic.

Where is Centracare Clinic located?

Centracare Clinic is located at 12800 Rolling Ridge Rd, Becker, MN 55308. The listed phone number is (763) 261-7000.

What is Centracare Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Centracare Clinic enrolled in Medicare?

Yes. Centracare Clinic is registered in the Medicare PECOS enrollment system.

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, 2 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Centracare Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D0927853) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 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.