| St. Francis Medical Center | |
|
2400 St Francis Dr Breckenridge MN 56520-1025 | |
| (218) 643-3000 | |
| Not Available |
| Full Name | St. Francis Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 2400 St Francis Dr, Breckenridge, Minnesota |
| Authorized Official Name and Position | Jay Paul Ross (VP OF OPERATIONAL FINANCE) |
| Authorized Official Contact | 2186163525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Francis Medical Center 2400 St Francis Dr Breckenridge MN 56520-1025 Ph: (218) 643-3000 | St. Francis Medical Center 2400 St Francis Dr Breckenridge MN 56520-1025 Ph: (218) 643-3000 |
| NPI Number | 1891954574 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 06/03/2026 |
| Medicare PECOS PAC ID | 8123937992 |
|---|---|
| Medicare Enrollment ID | O20040429000995 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891954574 | NPI | - | NPPES |
| 207001 | Other | BCBS NORTH DAKOTA | |
| 53764FR | Other | BCBS MINNESOTA | |
| 17161 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | (* (Not Available)) | Primary |
| Provider Name | Adeyinka A Taiwo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841398278 PECOS PAC ID: 4688560139 Enrollment ID: I20040223001107 |
| Provider Name | David Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275629719 PECOS PAC ID: 0648241232 Enrollment ID: I20040805000876 |
| Provider Name | John H. L. Odom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215953732 PECOS PAC ID: 3274502455 Enrollment ID: I20040927000127 |
| Provider Name | Talitha M Sannes-venhuizen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306887286 PECOS PAC ID: 3375591175 Enrollment ID: I20050108000024 |
| Provider Name | Edward H Wolske |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386629046 PECOS PAC ID: 5890750152 Enrollment ID: I20050523001110 |
| Provider Name | Fritz Leidig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871533851 PECOS PAC ID: 7113916305 Enrollment ID: I20050602000726 |
| Provider Name | Scott D Pauley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902884554 PECOS PAC ID: 0042239436 Enrollment ID: I20060125000580 |
| Provider Name | Amy Bakke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750340360 PECOS PAC ID: 6709891534 Enrollment ID: I20060215000030 |
| Provider Name | Nasser Mohammed Kazmouz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508882135 PECOS PAC ID: 7618970583 Enrollment ID: I20060814000506 |
| Provider Name | Kevin T Marble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891733127 PECOS PAC ID: 0547256828 Enrollment ID: I20060918000089 |
| Provider Name | Kory Albert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326148859 PECOS PAC ID: 2264339803 Enrollment ID: I20070330000125 |
| Provider Name | Timothy M Nyarandi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124222351 PECOS PAC ID: 5092808360 Enrollment ID: I20070912000323 |
| Provider Name | Michael J Severson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477528057 PECOS PAC ID: 8820183023 Enrollment ID: I20071003000325 |
| Provider Name | Michael B Rath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013996008 PECOS PAC ID: 3678580628 Enrollment ID: I20071220000176 |
| Provider Name | Jason M Como |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316137680 PECOS PAC ID: 1557441011 Enrollment ID: I20080109000586 |
| Provider Name | Elmer D Calica |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932392438 PECOS PAC ID: 6507953825 Enrollment ID: I20080110000611 |
| Provider Name | Ronald J Beare |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508895954 PECOS PAC ID: 8426049792 Enrollment ID: I20080326000903 |
| Provider Name | Tammy A Hoganson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669499521 PECOS PAC ID: 6608898093 Enrollment ID: I20080827000500 |
| Provider Name | James E Halvorson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972521524 PECOS PAC ID: 6103994926 Enrollment ID: I20081007000495 |
| Provider Name | Jeffrey E Olson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770757221 PECOS PAC ID: 6002974516 Enrollment ID: I20081027000665 |
| Provider Name | Patrick E Emery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144247008 PECOS PAC ID: 7618037060 Enrollment ID: I20081115000141 |
| Provider Name | John A Molstre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710920905 PECOS PAC ID: 3577623552 Enrollment ID: I20081120000429 |
| Provider Name | Omotola O Jaiyebo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912077421 PECOS PAC ID: 3072579630 Enrollment ID: I20090219000673 |
| Provider Name | Brenda M Rick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720273436 PECOS PAC ID: 9830254184 Enrollment ID: I20100223000838 |
| Provider Name | John Renelt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861465478 PECOS PAC ID: 6103736145 Enrollment ID: I20100728000179 |
| Provider Name | Heidi E Genereux |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124135629 PECOS PAC ID: 2466365192 Enrollment ID: I20101118000325 |
| Provider Name | Robert P Ostmo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487686689 PECOS PAC ID: 9032303193 Enrollment ID: I20111011000087 |
| Provider Name | Obinna E Nwadibia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790940658 PECOS PAC ID: 0547431470 Enrollment ID: I20121018000656 |
| Provider Name | Renee Paulette Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093886137 PECOS PAC ID: 4587659735 Enrollment ID: I20140929000271 |
| Provider Name | Travis J Mattern |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376561977 PECOS PAC ID: 4486541869 Enrollment ID: I20141028002160 |
| Provider Name | Amadin O Osayomore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700198660 PECOS PAC ID: 2466694138 Enrollment ID: I20150218001454 |
| Provider Name | Richard Walter Pretorius |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013900505 PECOS PAC ID: 4688561517 Enrollment ID: I20150515000330 |
| Provider Name | Jessica Krauth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851774905 PECOS PAC ID: 6901112069 Enrollment ID: I20150903001708 |
| Provider Name | Breanna L Paulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447690458 PECOS PAC ID: 3971745084 Enrollment ID: I20150911001415 |
| Provider Name | Robert L Gonzalez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285003608 PECOS PAC ID: 9032427786 Enrollment ID: I20150930001761 |
| Provider Name | Nina Rose Wentz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407128135 PECOS PAC ID: 1456512961 Enrollment ID: I20160316002257 |
| Provider Name | Brennen D Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376753277 PECOS PAC ID: 0749467280 Enrollment ID: I20160909002480 |
| Provider Name | Deanna M Balvitsch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124045117 PECOS PAC ID: 9133312275 Enrollment ID: I20171107003149 |
| Provider Name | Conrad G Hanstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972544369 PECOS PAC ID: 2567493299 Enrollment ID: I20180214001747 |
| Provider Name | Ronald E Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790821122 PECOS PAC ID: 7315998226 Enrollment ID: I20180530002452 |
| Provider Name | Aaron J Balgaard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124464623 PECOS PAC ID: 0244471654 Enrollment ID: I20180829002193 |
| Provider Name | Brittni J Mclam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821484957 PECOS PAC ID: 5698079788 Enrollment ID: I20180830002343 |
| Provider Name | Jessica A Heinrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588142863 PECOS PAC ID: 7416208566 Enrollment ID: I20180928001359 |
| Provider Name | James Joseph Heffele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326145228 PECOS PAC ID: 2668560152 Enrollment ID: I20190227001576 |
| Provider Name | Jennifer L Sheffield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497987812 PECOS PAC ID: 4183874928 Enrollment ID: I20190610000366 |
| Provider Name | Michelle Renee Lanning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144876103 PECOS PAC ID: 6709115165 Enrollment ID: I20190910001928 |
| Provider Name | Laura K Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306455431 PECOS PAC ID: 2163832171 Enrollment ID: I20201103001411 |
| Provider Name | Martin A Kwiatkowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265919567 PECOS PAC ID: 7113332701 Enrollment ID: I20220721001991 |
| Provider Name | Melissa Ellen Pahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619558830 PECOS PAC ID: 3274901673 Enrollment ID: I20221116000071 |
| Provider Name | Dylan Torgerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538620653 PECOS PAC ID: 3779975610 Enrollment ID: I20230328001721 |
| Provider Name | Sarah Victoria Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205692969 PECOS PAC ID: 3870931785 Enrollment ID: I20240410002306 |
| Provider Name | Azeez Folorunsho Rufai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992539274 PECOS PAC ID: 6800328998 Enrollment ID: I20241014004156 |
| Provider Name | Kevin Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588244461 PECOS PAC ID: 3476957960 Enrollment ID: I20241111002796 |
| Provider Name | Christian Vankirk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942430004 PECOS PAC ID: 8628101912 Enrollment ID: I20250507000616 |