Centracare Clinic in Big Lake, MN
This location of Centracare Clinic bills under NPI 1013104348, an organization record issued on Oct 1, 2007 with the primary taxonomy Multi-Specialty Clinic/Center. It is one of 29 NPIs registered under this name; each clinician who sees you there has their own NPI and license.
- Legal name
- Centracare Clinic
- Entity
- Type 2 · organization, a subpart
- Parent organization
- Centracare Clinic
- Primary taxonomy
- Multi-Specialty Clinic/Center 261QM1300X
- Practice location
- 16830 198TH AVE NW CENTRACARE CLINIC - BIG LAKE, Big Lake, MN 55309
- Phone
- 763-263-7300
- Mailing address
- Saint Cloud, MN
- Enumerated
- Oct 1, 2007
- Record updated
- Nov 19, 2020
- Authorized official
- Sr Vp & Cfo (title as filed)
2 clinicians CMS lists with Centracare Clinic in Big Lake
- Evan Dyce, CNPFamily Nurse Practitioner1013437110
- Kristy Peterfeso, APRN, CNPFamily Nurse Practitioner1598140881
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Every location registered under this name, in 11 cities.
See every locationChecking an organization
- Confirm the business with the Minnesota secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 261QM1300X Multi-Specialty Clinic/Center
- 332B00000X Durable Medical Equipment & Medical Supplies
Common questions
What does subpart mean?
The organization registered this NPI as a subpart: a part of the organization, such as a location, that bills under its own NPI.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.