Katrina Nicole Wherry, MD
Individual provider Active NPI Family Medicine Physician · St Joseph, MN
NPI 1124297965 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1124297965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 108777 (MN)
- Practice address
- 1360 Elm Street East
Centracare Clinic St Joseph Family Medicine
St Joseph, MN 56374-4694 - Phone
- (320) 363-7765
- Fax
- (320) 363-0031
- NPI assigned
- Feb 26, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centracare Clinic
Practice addresses (Care Compare)
1360 Elm St E
Centracare Clinic St Joseph
St Joseph, MN 56374-4694
Phone (320) 363-7765
Hospital & facility affiliations
- Centracare Home Health
- Adara Home Health Inc
- Centracare Hospice
- St Croix Hospice
- Centracare - St. Cloud Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160927000899 | MN | Practitioner - Family Practice | 2860524238 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108777 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Cloud Hospital | Current |
Accepting new patients | |
| Centracare Clinic | Current |
Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| St. Cloud Hospital | Current |
Accepting new patients | |
| Centracare Clinic | Current |
Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients |
Locations
715 1st St N
Cold Spring, MN 56320
Phone (320) 685-3693
1555 Northway Dr
#H
Saint Cloud, MN 56303
Phone (320) 240-3157
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
1360 Elm St E
Saint Joseph, MN 56374
Phone (320) 363-7765
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25668 | NE | |
| Family Medicine Physician | 207Q00000X | 108777 | MN | Yes |
Addresses
Primary practice location
1360 Elm Street East
Centracare Clinic St Joseph Family Medicine
St Joseph, MN 56374-4694
Mailing address
1360 Elm Street East
Centracare Clinic St Joseph Family Medicine
St Joseph, MN 56374-4694
Phone (320) 363-7765
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kwherry300406@direct.centracare.com | Direct |
Other providers in St Joseph, MN
- The Haven Halfway House, LLC
- Benjamin Varoga
- Hannah E Warnert
- Jessica Warzecka
- Jerry L Wetterling
- Sean Patrick Wherry
All providers in St Joseph, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.