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FRESENIUS KIDNEY CARE BIG LAKE
NPI 1972278810
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Big Lake, MN

Active since August 12, 2021CLIA 24D1097831 · Waiver
4/5
Overall Rating
16830 198TH AVE NW, BIG LAKE, MN 55309(763) 263-7320 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 23, 2023, Mar 10, 2022, Aug 12, 2021 (3 updates tracked since 2021).

About Fresenius Kidney Care Big Lake NPPES

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

FRESENIUS KIDNEY CARE BIG LAKE (NPI 1972278810) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Big Lake, Minnesota and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Barry L. Blanton, Vp, as its authorized official.

NPPES Registry Identity

NPI1972278810
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameFRESENIUS MEDICAL CARE CENTRACARE DIALYSIS, LLC
Location Address16830 198TH AVE NWBig Lake, MN 55309-4860
Mailing Address16830 198th Ave NwBig Lake, MN 55309-4860 · (763) 263-7320
Phone(763) 263-7320
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L. BlantonVp · (781) 699-9000
Enumeration DateAugust 12, 2021
Last NPPES UpdateOctober 23, 20233 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1972278810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
16830 198TH AVE NW, Big Lake, MN 55309
Open in Google Maps ↗

Other Names 1

Doing Business AsFresenius Kidney Care Big Lake

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, UnitedHealthcare.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 24D1097831

Fresenius Kidney Care Big Lake · Big Lake, MN
Active · expires Apr 2, 2027
CLIA Number24D1097831
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorShakeel Anjum
Laboratory Phone(763) 263-7320
Laboratory LocationFresenius Kidney Care Big Lake16830 198th Ave NW, Big Lake, MN 55309
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Fresenius Kidney Care Big Lake (CMS certification number 242609), from CMS Care Compare.

Fresenius Kidney Care Big Lake

Dialysis facility · Big Lake, MN
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainFresenius Medical Care
CMS Certification Number242609
ESRD NetworkNetwork 11
Hemodialysis Stations9
Medicare-Certified SinceSeptember 1, 2021
Location16830 198TH AVE. NWBig Lake, MN 55309 · Sherburne County
Phone(651) 377-1958
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 5

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

CENTRACARE CLINIC
Clinic/Center (Multi-Specialty)
16830 198TH AVE NW, CENTRACARE CLINIC - BIG LAKE
BIG LAKE, MN 55309
Sherburne County (763) 263-7300
NABEEL BISHARA AILABOUNI DO
Family Medicine
16830 198TH AVE NW, BIG LAKE CLINIC
BIG LAKE, MN 55309
Sherburne County (763) 263-7300
LOLA B SUTHERLAND MD
Family Medicine
16830 198TH AVE NW, BIG LAKE CLINIC
BIG LAKE, MN 55309
Sherburne County (763) 263-7300
LUKE A. HERDINA P.A.-C
Physician Assistant (Medical)
16830 198TH AVE NW, BIG LAKE CLINIC
BIG LAKE, MN 55309
Sherburne County (763) 263-7300
GLENN W WEIDENBACHER MD
Pediatrics
16830 198TH AVE NW, BIG LAKE CLINIC
BIG LAKE, MN 55309
Sherburne County (763) 263-7300

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 Fresenius Medical Care Centracare Dialysis, LLC's NPI number?

The NPI number for Fresenius Medical Care Centracare Dialysis, LLC is 1972278810. It was assigned to this organization in the NPPES registry on August 12, 2021. The provider is doing business as Fresenius Kidney Care Big Lake.

Where is Fresenius Medical Care Centracare Dialysis, LLC located?

Fresenius Medical Care Centracare Dialysis, LLC is located at 16830 198th Ave NW, Big Lake, MN 55309. The listed phone number is (763) 263-7320.

What is Fresenius Medical Care Centracare Dialysis, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Fresenius Medical Care Centracare Dialysis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1097831) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Fresenius Medical Care Centracare Dialysis, LLC a Medicare-certified dialysis facility?

Yes. Fresenius Kidney Care Big Lake is a Medicare-certified dialysis facility, certified since September 1, 2021.

What quality rating does Fresenius Medical Care Centracare Dialysis, LLC have?

CMS rates Fresenius Kidney Care Big Lake 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Fresenius Medical Care Centracare Dialysis, LLC accept?

Health plans from HealthPartners and UnitedHealthcare list Fresenius Medical Care Centracare Dialysis, 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 Fresenius Medical Care Centracare Dialysis, LLC was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.