Stephanie A Boysen (NPI# 1982120085, PAC ID# 3870869563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1982120085 |
| PAC ID by PECOS | 3870869563 |
| Professional Enrollment ID | I20171025000451 |
| Full Name | Stephanie A Boysen |
| Organization Legal Name | CENTRACARE CLINIC |
| Address |
615 Nelson Dr Po Box Suite 217 Clearwater MN 55320 |
| Phone Number | 3205582293 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466363395 |
| Number of Group Practice Members | 601 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240036 | ST CLOUD HOSPITAL |
| 241362 | CENTRACARE HEALTH - MONTICELLO |
| Address | Phone | Organization |
|---|---|---|
| 615 Nelson Dr Po Box, Suite 217, Clearwater, MN 55320 | 3205582293 | 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 |
| 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 |
| Bartley B Mueller | Family Medicine | Centracare Clinic | 1301 33rd St S, St Cloud, MN 56301-9668 |
| Street Address |
615 NELSON DR PO BOX SUITE 217 |
| City | CLEARWATER |
| State | MN |
| Zip | 55320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott A Rahm | Family Medicine | Centracare Clinic | 615 Nelson Dr Po Box, Suite 217, Clearwater, MN 55320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynette R Catapano | Optometry | 814 Clearwater Ctr, Clearwater, MN 55320 | |
| Eron Bordson | Chiropractic | Po Box, Suite 246, Clearwater, MN 55320-0246 |
| City | CLEARWATER |
| Zip Code | 55320 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLEARWATER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stephanie A Boysen.
| 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.