MARILYN M SKURDAHL (NPI# 1194716811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194716811 |
| Entity Type | Individual |
| Full Name | MARILYN M SKURDAHL |
| Credential | CNP |
| Practice Address |
1900 Centracare Cir Saint Cloud MN 56303-5000 |
| Practice Telephone | 3206543630 |
| Practice Fax Number | 3206543657 |
| Mailing Telephone | 3206543630 |
| Mailing Fax Number | 3206543657 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2011-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R0957881 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA HEALTH PLANS | 0104090 | 01 | |
| MEDICAL ASSISTANCE | 972587300 | 01 | |
| PREFERRED ONE | 1020209 | 01 | |
| FIRST HEALTH PLAN | 2130074 | 01 | |
| U CARE | 123625 | 01 | |
| HEALTH PARTNERS | HP27108 | 01 | |
| BLUE CROSS BLUE SHIELD | 73D95SK | 01 |
| Street Address |
1900 CENTRACARE CIR |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858020 | Centracare Clinic | Clinic/Center | 1900 Centracare Cir, Centracare Clinic Health Plaza, Saint Cloud, MN 56303-5000 | 2005-08-12 |
| 1245845007 | Kayla Bolland-hillesheim | Counselor | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2020-09-09 |
| 1255976387 | Victoria Sybilla Hadley | Nurse Practitioner | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-11-13 |
| 1952945560 | Amanda Rae Schwartz | Physician Assistant | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-11-06 |
| 1467095166 | Cameron Svihla | Physician Assistant | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-10-25 |
| 1912540188 | Zoe Boehmer | Dietitian, Registered | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-10-21 |
| 1669033429 | Haley Vonbank | Physical Therapist | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-06-24 |
| 1396302741 | Karen Ann Reisdorf | Dietitian, Registered | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-05-21 |
| 1316500648 | Carrilyn Bechtold | Occupational Therapist | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-04-22 |
| 1770049066 | Clinton James Billhorn | Physician Assistant | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731821 | Thomas Bieniek | Nurse Practitioner | 1900 Centracare Cir Ste 1600, Saint Cloud, MN 56303-5000 | 2019-07-08 |
| 1154754885 | Kaya Health Care L.L.C. | Nurse Practitioner | 26813 13th Ave. S.e., Saint Cloud, MN 56304-8536 | 2013-08-16 |
| 1619429321 | Briana Eriksson-kotschevar | Nurse Practitioner | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2016-10-28 |
| 1912366899 | Julie Ann Keller Dornbusch | Nurse Practitioner | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2016-02-19 |
| 1609252410 | Breeanna Waletzko | Nurse Practitioner | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2015-08-04 |
| 1649676487 | Katie Lynne Hegdahl | Nurse Practitioner | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2014-11-05 |
| 1962812503 | Sarah Jane Ibeling | Nurse Practitioner | 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 | 2014-05-05 |
| 1053731752 | Yaga Saine | Nurse Practitioner | 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 | 2014-04-21 |
| 1376970822 | Kathryn Lee Meyer | Nurse Practitioner | 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 | 2013-09-30 |
| 1447682885 | Michelle Joan Peterson | Nurse Practitioner | 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 | 2013-08-08 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
Please comment or provide details below to improve the information on MARILYN M SKURDAHL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.