Danelle Leigh Tibbetts (NPI# 1215344825, PAC ID# 3476774589) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1215344825 |
| PAC ID by PECOS | 3476774589 |
| Professional Enrollment ID | I20141014001923 |
| Full Name | Danelle Leigh Tibbetts |
| Organization Legal Name | CENTRACARE CLINIC |
| Address |
1900 Centracare Circle St Cloud MN 56303-5000 |
| Phone Number | 3206543630 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466363395 |
| Number of Group Practice Members | 404 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240036 | ST CLOUD HOSPITAL |
| 241368 | CENTRACARE HEALTH SYSTEM - SAUK CENTRE |
| 240030 | DOUGLAS COUNTY HOSPITAL |
| 241326 | CENTRACARE HEALTH SYSTEM - LONG PRAIRIE |
| 241362 | CENTRACARE HEALTH - MONTICELLO |
| Address | Phone | Organization |
|---|---|---|
| 1900 Centracare Circle, St Cloud, MN 56303-5000 | 3206543630 | CENTRACARE CLINIC |
| Organization Legal Name | CENTRACARE CLINIC |
| Physicians | 630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany D Kirkeby | Family Medicine | Centracare Clinic | 30 Railroad Ave, Albany, MN 56307-9379 |
| Stephanie A Boysen | Nurse Practitioner | Centracare Clinic | 615 Nelson Dr Po Box, Suite 217, Clearwater, MN 55320 |
| Evan L Dyce | Nurse Practitioner | Centracare Clinic | 1200 6th N Ave, Saint Cloud, MN 56303-2735 |
| Janelle M Terhaar | Nurse Practitioner | Centracare Clinic | 20 9th St Se, Long Prairie, MN 56347-1404 |
| Craig B Tangen | Certified Registered Nurse Anesthetist (crna) | Centracare Clinic | 3701 12th St N, Suite 202, Saint Cloud, MN 56303-2253 |
| Katrina N Wherry | Family Medicine | Centracare Clinic | 1360 Elm St E, St Joseph, MN 56374-4694 |
| Ashley A Rood | Nurse Practitioner | Centracare Clinic | 113 Waite Ave S, Suite 101, Waite Park, MN 56387-1348 |
| Elizabeth Anne Phillips | Urology | Centracare Clinic | 2351 Connecticut S Ave, 200 Suite 200, Sartell, MN 56377-2477 |
| Michelle L Jones | Nurse Practitioner | Centracare Clinic | 161 Glen St, Suite 101, Foley, MN 56329-4514 |
| Erin F Osmundson | Nurse Practitioner | Centracare Clinic | 500 Park St E, Annandale, MN 55302-3060 |
| Street Address |
1900 CENTRACARE CIRCLE |
| City | ST CLOUD |
| State | MN |
| Zip | 56303-5000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bharath Manu Akkara Veetil | Rheumatology | Centracare Clinic | 1900 Centracare Circle, St Cloud, MN 56303-5000 |
| Kristi M Sabrowsky | Registered Dietitian Or Nutrition Professional | Centracare Clinic | 1900 Centracare Circle, Saint Cloud, MN 56303-5000 |
| Tamara W Congdon | Internal Medicine | Centracare Clinic | 1900 Centracare Circle, St Cloud, MN 56303-5000 |
| Mark A Erickson | Family Medicine | Centracare Clinic | 1900 Centracare Circle, Saint Cloud, MN 56303-5000 |
| Xiaofang Sheng Tanner | Internal Medicine | Centracare Clinic | 1900 Centracare Circle, St Cloud, MN 56303-5000 |
| Kristina M Gross | Nurse Practitioner | Centracare Clinic | 1900 Centracare Circle, Saint Cloud, MN 56303-5000 |
| Karen A Reisdorf | Registered Dietitian Or Nutrition Professional | Centracare Clinic | 1900 Centracare Circle, St Cloud, MN 56303-5000 |
| Elizabeth K Blixt | Dermatology | Centracare Clinic | 1900 Centracare Circle, St Cloud, MN 56303-5000 |
| Monica Sharma | Gastroenterology | Centracare Clinic | 1900 Centracare Circle, St Cloud, MN 56303-5000 |
| Patricia A Nee | Internal Medicine | Centracare Clinic | 1900 Centracare Circle, St Cloud, MN 56303-5000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene J Beniek | Clinical Social Worker | 32104 Stearns County Rd, Suite 1, St Cloud, MN 56303 | |
| Troy A Payne | Sleep Medicine | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Troy A Scott | Family Medicine | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Keith J Leavell | Critical Care (intensivists) | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Piyush Das | General Practice | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Paul M Wenner | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Deborah A Scattarelli | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Cathy S Klick | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Barbara A Carver | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Judith L Huber | Psychologist, Clinical | Catholic Charities of The Diocese of St Cloud | 911 - 18th St N, Saint Cloud, MN 56303-1203 |
| Find all physicians in zip 56303 | |||
| City | ST CLOUD |
| Zip Code | 56303 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ST CLOUD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Danelle Leigh Tibbetts.
| 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.