| Simplicity Health Direct | |
|
3290 42nd Avenue South Suite 100 St Cloud MN 56301 | |
| (320) 267-1341 | |
| Not Available |
| Full Name | Simplicity Health Direct |
|---|---|
| Speciality | Family Medicine |
| Location | 3290 42nd Avenue South, St Cloud, Minnesota |
| Authorized Official Name and Position | Julie K Anderson (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3202671341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simplicity Health Direct 1511 Northway Dr Ste 103 Saint Cloud MN 56303-1262 Ph: (320) 267-1341 | Simplicity Health Direct 3290 42nd Avenue South Suite 100 St Cloud MN 56301 Ph: (320) 267-1341 |
| NPI Number | 1780186486 |
|---|---|
| Provider Enumeration Date | 03/08/2018 |
| Last Update Date | 02/04/2021 |
| Medicare PECOS PAC ID | 1557617354 |
|---|---|
| Medicare Enrollment ID | O20180710001022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780186486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 43953 (Minnesota) | Primary |
| Provider Name | Julie Ra Zwiener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013983576 PECOS PAC ID: 1759278104 Enrollment ID: I20040302000115 |
| Provider Name | Jane M Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821057662 PECOS PAC ID: 0042206344 Enrollment ID: I20040422000575 |
| Provider Name | Julie K Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801825278 PECOS PAC ID: 1951388735 Enrollment ID: I20040630000334 |
| Provider Name | Jody Bolton-smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306846076 PECOS PAC ID: 9234116880 Enrollment ID: I20040701001188 |
| Provider Name | Jill M Root |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134382591 PECOS PAC ID: 1052488046 Enrollment ID: I20080917000046 |
| Provider Name | Kourtney N Bradford Houle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720238835 PECOS PAC ID: 1052475597 Enrollment ID: I20090129000035 |
| Provider Name | Kimberly M Dodds-thompson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033443460 PECOS PAC ID: 4981743655 Enrollment ID: I20091209000635 |
| Provider Name | Julie M Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235105388 PECOS PAC ID: 3779664743 Enrollment ID: I20100428000589 |
| Provider Name | Hoang D Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033119342 PECOS PAC ID: 8426131806 Enrollment ID: I20100612000066 |
| Provider Name | Michael J Dorle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457389884 PECOS PAC ID: 9638150378 Enrollment ID: I20100616000854 |
| Provider Name | Roman H Keller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982743159 PECOS PAC ID: 0941352868 Enrollment ID: I20100717000073 |
| Provider Name | Bonnie P Fines |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861492464 PECOS PAC ID: 7618050097 Enrollment ID: I20100717000141 |
| Provider Name | Bryan J Brindley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104826551 PECOS PAC ID: 0345323721 Enrollment ID: I20100717000163 |
| Provider Name | Stephen E Kuehne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003816406 PECOS PAC ID: 3577476134 Enrollment ID: I20100717000227 |
| Provider Name | Kevin L Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194725424 PECOS PAC ID: 4789767161 Enrollment ID: I20100717000238 |
| Provider Name | Carol M Brinkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578560405 PECOS PAC ID: 0042409971 Enrollment ID: I20110107000702 |
| Provider Name | Manuel R Moran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811965775 PECOS PAC ID: 6103728571 Enrollment ID: I20110412000366 |
| Provider Name | Nicole R Mercer Bolton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881890549 PECOS PAC ID: 5092993881 Enrollment ID: I20110627000264 |
| Provider Name | Chadd Mcmahon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972782951 PECOS PAC ID: 9032373907 Enrollment ID: I20120606000356 |
| Provider Name | Brad Douglas Hilger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639103146 PECOS PAC ID: 6204005598 Enrollment ID: I20120619000103 |
| Provider Name | Darrin John Spoden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598925539 PECOS PAC ID: 6800035783 Enrollment ID: I20130626000116 |
| Provider Name | Nathan B Danielson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467761130 PECOS PAC ID: 7517108491 Enrollment ID: I20130719000325 |
| Provider Name | Francis Xavier Kigozi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487819751 PECOS PAC ID: 2365685617 Enrollment ID: I20140527001558 |
| Provider Name | Leslie Anne Hartman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710150321 PECOS PAC ID: 7416112164 Enrollment ID: I20140619000750 |
| Provider Name | Scott A Klettke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487965109 PECOS PAC ID: 2567754054 Enrollment ID: I20160701000039 |
| Provider Name | Kevin J Turneau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427032572 PECOS PAC ID: 9032161609 Enrollment ID: I20170619001228 |
| Provider Name | James R Dickinson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1104192541 PECOS PAC ID: 5193020097 Enrollment ID: I20180716000629 |
| Provider Name | Yusuf Karrar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609139070 PECOS PAC ID: 3779804521 Enrollment ID: I20190712001809 |
| Provider Name | Shannon L Nord |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023351533 PECOS PAC ID: 0244478121 Enrollment ID: I20200320000819 |
| Provider Name | Craig A Meiers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154700201 PECOS PAC ID: 3678867587 Enrollment ID: I20210813000870 |
| Provider Name | Kristen K Mrozek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851049027 PECOS PAC ID: 4486041175 Enrollment ID: I20220427002369 |
| Provider Name | Jeri S Plaxco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265590210 PECOS PAC ID: 8729130828 Enrollment ID: I20220525001298 |
| Provider Name | Daniel L Measel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700864055 PECOS PAC ID: 7911981881 Enrollment ID: I20220525001449 |
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