Kelsey A Diederich (NPI# 1477092971, PAC ID# 8729331335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1477092971 |
| PAC ID by PECOS | 8729331335 |
| Professional Enrollment ID | I20181030000072 |
| Full Name | Kelsey A Diederich |
| Organization Legal Name | CENTRACARE CLINIC |
| Address |
1406 6th Ave N St Cloud MN 56301 |
| Phone Number | 3202512700 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2466363395 |
| Number of Group Practice Members | 601 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 3202512700 | ST CLOUD HOSPITAL |
| 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 3202522422 | ST CLOUD HOSPITAL |
| 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 | 3202599375 | ST CLOUD HOSPITAL |
| 1406 6th Ave N, St Cloud, MN 56301 | 3202512700 | 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 |
1406 6TH AVE N |
| City | ST CLOUD |
| State | MN |
| Zip | 56301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amelia C Fierro-fine | Pathology | St Cloud Pathologists Pa | 1406 6th Ave N, Dept 5000, Saint Cloud, MN 56303-1900 |
| Bradley E Currier | Gastroenterology | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56303-1901 |
| John K Matsuura | Urology | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56303-1901 |
| Vickie L Nash | Obstetrics/gynecology | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56303-1901 |
| Ashley S Eisenschenk | Nurse Practitioner | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56301 |
| Rebecca A Kastanek | Nurse Practitioner | St Cloud Hospital | 1406 6th Ave N, Saint Cloud, MN 56303-1900 |
| Yaga Saine | Nurse Practitioner | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56303-1901 |
| Mark John Martone | Cardiovascular Disease (cardiology) | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56303-1901 |
| Alan P Johnson | Physician Assistant | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56303-1901 |
| Christopher W Wieland | Internal Medicine | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56303-1901 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth J Flynn | Psychologist, Clinical | 3400 1st St N, Suite 300, St Cloud, MN 56301 | |
| Kayla R Ferrie | Clinical Social Worker | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56301 |
| Sara A Lahti | Registered Dietitian Or Nutrition Professional | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56301 |
| Patricia J Blonigen-heinen | Clinical Social Worker | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56301 |
| Stephanie L Baas | Psychologist, Clinical | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56301 |
| Paul R Sander | Cardiovascular Disease (cardiology) | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56301 |
| Cindy A Happe | Clinical Social Worker | 2653 County Rd, Suite 74, Saint Cloud, MN 56301-2205 | |
| Emily S Schwartz | Optometry | 901 W Saint Germain St, Saint Cloud, MN 56301-3460 | |
| Brian Lee Hilbert | Chiropractic | 4142 S 2nd St, Saint Cloud, MN 56301-3704 | |
| Jared J Fairbanks | Optometry | 4118 W Division St, Saint Cloud, MN 56301-3706 | |
| Find all physicians in zip 56301 | |||
| City | ST CLOUD |
| Zip Code | 56301 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ST CLOUD + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kelsey A Diederich.
| 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.