STEPHANIE MARIE GAGELIN (NPI# 1679133052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679133052 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARIE GAGELIN |
| Credential | PA-C |
| Practice Address |
1301 33rd St S Saint Cloud MN 56301-9668 |
| Mailing Address |
4135 Lark Cir Grand Forks ND 58201-5966 |
| Practice Telephone | 3202518181 |
| Mailing Telephone | 2187798567 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1301 33RD ST S |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912559 | Kristen J Heffern | Nurse Practitioner | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2005-06-20 |
| 1649885922 | Amal Mohamed Farah | Family Medicine | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2020-09-13 |
| 1275163388 | Jamie Rae Pohlmann | Physical Therapist | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2020-01-17 |
| 1063935955 | Amanda Marilyn Michalski | Physician Assistant | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2017-07-21 |
| 1669994315 | Centracare Clinic | Clinic/Center | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2017-07-14 |
| 1568811529 | Carly Elizabeth Schmitt | Physical Therapist | 1301 33rd St S, Suite 210, Saint Cloud, MN 56301-9668 | 2016-06-09 |
| 1548616576 | Brianna Thour | Physical Therapist | 1301 33rd St S, Suite 210, Saint Cloud, MN 56301-9668 | 2016-05-09 |
| 1427439454 | Noah Helgerson | Physical Therapist | 1301 33rd St S, Suite 210, Saint Cloud, MN 56301-9668 | 2015-06-16 |
| 1205225224 | Jamie Marie Dockendorf | Physician Assistant | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2015-01-14 |
| 1407121841 | Southside Pharmacy Ltd | Pharmacy | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2012-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1679110456 | Katelyn Bills | Physician Assistant | 3701 12th St N Ste 100, Saint Cloud, MN 56303-2253 | 2019-11-29 |
| 1285199307 | Jessica Brysky | Physician Assistant | 1900 Centracare Cir Ste 500, Saint Cloud, MN 56303-5000 | 2019-02-02 |
| 1013335801 | Natalia Becker | Physician Assistant | 1900 Centracare Cir # 500, Saint Cloud, MN 56303-5000 | 2014-03-31 |
| 1457507188 | Victor D Quinones | Physician Assistant | 3720 Cord Ave, Saint Cloud, FL 34772-8061 | 2008-08-13 |
| 1588647853 | Gerald Allen Taylor | Physician Assistant | 1510 24th Ave N, Saint Cloud, MN 56303-1304 | 2005-11-21 |
| 1023640034 | Faith Kelly Dammann | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2020-02-07 |
| 1538707377 | Alissa Wigen | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-12-11 |
| 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 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
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| 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.