Randy N Nelson (NPI# 1255344164, PAC ID# 1355395989) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1255344164 |
| PAC ID by PECOS | 1355395989 |
| Professional Enrollment ID | I20050308000205 |
| Full Name | Randy N Nelson |
| Organization Legal Name | CENTRACARE HEALTH - PAYNESVILLE LLC |
| Address |
200 W 1st St Paynesville MN 56362-1445 |
| Phone Number | 3202433767 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1153555719 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241349 | CENTRA CARE HEALTH PAYNESVILLE |
| 240036 | ST CLOUD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 W 1st St, Paynesville, MN 56362-1445 | 3202433767 | CENTRACARE HEALTH - PAYNESVILLE LLC |
| Organization Legal Name | CENTRACARE HEALTH - PAYNESVILLE LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence G Strate | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Wendy M Miller | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Alicia M Glimsdal | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| John K Tronnes | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Sarah J Revermann | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Janella F Fuchs | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Christopher R Anderson | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Ryan O Mareck | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Nancy A Drange | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Julie K Youngs | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Street Address |
200 W 1ST ST |
| City | PAYNESVILLE |
| State | MN |
| Zip | 56362-1445 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence G Strate | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Wendy M Miller | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Alicia M Glimsdal | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Joseph M Fortier | Physician Assistant | St Cloud Orthopedic Associates Ltd | 200 W 1st St, Paynesville, MN 56362-1445 |
| Courtney L Logan | Physician Assistant | St Cloud Orthopedic Associates Ltd | 200 W 1st St, Paynesville, MN 56362-1445 |
| Jeanne Lauderdale | Physical Therapy | Advanced Therapy Solutions, LLC | 200 W 1st St, 527 Roswell Therapy Specialist, Roswell, NM 88203-4676 |
| John K Tronnes | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Sarah J Revermann | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Janella F Fuchs | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Christopher R Anderson | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney E Stenger | Chiropractic | Duininck Chiropractic, Pa | 208 W James St, Paynesville, MN 56362-1219 |
| Randal J Jacklitch | Chiropractic | 208 W James St, Paynesville, MN 56362-1219 | |
| Ryan O Mareck | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Nancy A Drange | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Julie K Youngs | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Timothy L Malling | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Jennifer D Dwyer | Physician Assistant | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Randall J Zimmerman | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Jane M Peterson | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Heather K Swanson | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Find all physicians in zip 56362 | |||
| City | PAYNESVILLE |
| Zip Code | 56362 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PAYNESVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Randy N Nelson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.