Centracare Clinic
Centracare Clinic is a healthcare organization registered as Primary Care Clinic/Center in St Cloud, MN, holding Type 2 (organization) NPI 1659425114 since 2007. The authorized official on file is Michael Blair, Sr Vp & Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1659425114 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Centracare Clinic |
| Other name | <Unavail> |
| Practice address | 1900 CENTRACARE CIRCLE, CENTRACARE CLINIC INTERNAL MEDICINE, St Cloud, MN, 56303 |
| Phone | 3202294928 |
| Enumeration date | 2007-01-22 |
| Last updated in NPPES | 2025-06-23 |
Authorized official
| Name | Michael Blair |
|---|---|
| Title | Sr Vp & Cfo |
| Phone | 3202555665 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 261QP2300X | Primary Care Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052720300 | Medicaid | MN | — |
| 990228700 | Medicaid | MN | — |
Copy-ready billing details
Provider: Centracare Clinic NPI: 1659425114 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 1900 CENTRACARE CIRCLE, CENTRACARE CLINIC INTERNAL MEDICINE, St Cloud, MN, 56303
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003815051 | Jennifer Rogan | Individual | Pediatrics Physician | St Cloud, MN |
| 1669462065 | Susan Atamian | Individual | Endocrinology, Diabetes & Metabolism Physician | St Cloud, MN |
| 1235129644 | Katherine Pillote | Individual | Endocrinology, Diabetes & Metabolism Physician | St Cloud, MN |
| 1811987217 | Donna Harris | Individual | Family Nurse Practitioner | St Cloud, MN |
| 1083605935 | Elizabeth Riesgraf | Individual | Family Medicine Physician | St Cloud, MN |
| 1548251408 | Marilyn Peitso | Individual | Pediatrics Physician | St Cloud, MN |
| 1033100987 | Vickie Nash | Individual | Obstetrics & Gynecology Physician | St Cloud, MN |
| 1558352401 | Sylvia Sundberg | Individual | Pediatrics Physician | St Cloud, MN |
Verify this record
Cross-check NPI 1659425114 against the authoritative CMS record: view Centracare Clinic on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Centracare Clinic?
Who is the authorized official for Centracare Clinic?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-23.