Centracare Clinic
NPI 1164978219 · Clinic/Center · Saint Cloud, MN
Enrolled with Medicare as Dme Supplier - Physician - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Centracare Clinic is a Clinic/Center organization in Saint Cloud, MN (NPI 1164978219).
Provider details
- NPI number
- 1164978219
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Blair, Sr Vp & Cfo(320) 255-5665
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Centracare - Midsota Plastic Surgery
Registry dates
- Enumerated
- 2016-08-29
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Frequently asked questions
- What is Centracare Clinic's NPI number?
- Centracare Clinic's National Provider Identifier (NPI) is 1164978219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centracare Clinic?
- Centracare Clinic is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Centracare Clinic located?
- Centracare Clinic's practice location on file with NPPES is 3701 12th St N, Saint Cloud, MN 56303-2255.
- What is Centracare Clinic's phone number?
- The practice phone number listed in the NPPES registry for Centracare Clinic is (320) 253-7257.
- Does Centracare Clinic accept Medicare?
- Centracare Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Centracare Clinic?
- The authorized official listed on Centracare Clinic's NPPES record is Michael Blair, Sr Vp & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centracare Clinic's NPI active?
- Yes — Centracare Clinic's NPI (1164978219) is active in the NPPES registry as of the last update on 2025-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.