Individual provider Active NPI

Diane Marie Palkert, MD

  • Orthopaedic Surgery Physician
  • Crosby, MN
National Provider Identifier
1093807786
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
43000 Issued in MN
Practice address
318 East Main Street
Central Lakes Medical Clinic PA
Crosby, MN 56441-1691
Phone
(218) 546-8375
Fax
(218) 546-4400
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 43000 MN Primary

Addresses

Primary practice location

318 East Main Street
Central Lakes Medical Clinic PA
Crosby, MN 56441-1691

Mailing address

318 East Main Street
Crosby, MN 56441-1691
Phone (218) 546-8375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061129000396 MN Practitioner - Orthopedic Surgery 9638166986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Minnesota Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Family HealthcareGroup PAC ID 9830003516, shared by 7 NPIs, 65 clinicians

Practice addresses (Care Compare)

1108 1St St SE
Little Falls, MN 56345-3440
Phone (320) 632-3761

20 9TH St SE
Long Prairie, MN 56347-1404
Phone (320) 732-2141

815 2ND St SE
Little Falls, MN 56345-3505
Phone (320) 632-5441

Hospital & facility affiliations

  • St Gabriels Hospital Hospital, Little Falls, MN, CCN 241370
  • Centracare - Long Prairie Hospital Hospital, Long Prairie, MN, CCN 241326
  • St Josephs Area Health Services Hospital, Park Rapids, MN, CCN 241380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Family Healthcare CurrentSince Jul 17, 2023 Accepting new patients
Unity Family Healthcare Orthopaedic Surgery Current Accepting new patients
Unity Family Healthcare Current Accepting new patients
Riverview Healthcare Association Current Accepting new patients
Unity Family Healthcare CurrentSince Jul 17, 2023 Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

1108 1st St SE
Little Falls, MN 56345
Phone (320) 632-3671

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

Interoperability endpoints

  • Direct secure messaging: dpalkert683261@direct.centracare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093807786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 EAST MAIN STREET",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564411691",
            "telephone_number": "218-546-8375",
            "fax_number": "218-546-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 EAST MAIN STREET",
            "address_2": "CENTRAL LAKES MEDICAL CLINIC PA",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564411691",
            "telephone_number": "218-546-8375",
            "fax_number": "218-546-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALKERT",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "43000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosby, MN

Sources for this page

Verify at the official NPI Registry.