NPIMap

Individual provider Active NPI

Katrina Nicole Wherry, MD

  • Family Medicine Physician
  • Saint Joseph, MN
National Provider Identifier
1124297965
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
108777 Issued in 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
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25668 NE
Family Medicine Physician 207Q00000X 108777 MN Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address kwherry300406@direct.centracare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160927000899 MN Practitioner - Family Practice 2860524238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 ClinicGroup PAC ID 2466363395, 800 clinicians

Practice addresses (Care Compare)

1360 Elm St E
Centracare Clinic St Joseph
St Joseph, MN 56374-4694
Phone (320) 363-7765

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108777MNMDFamily Medicine Physician
25668NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic Current Accepting new patients
St. Cloud Hospital Current Accepting new patients
Centracare Clinic CurrentSince Mar 1, 2020 Accepting new patients
Centracare Clinic CurrentSince Mar 1, 2020 Accepting new patients
St. Cloud Hospital CurrentSince Mar 1, 2020 Accepting new patients
St. Cloud Hospital CurrentSince Mar 1, 2020 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) 363-1745

Interoperability endpoints

  • Direct secure messaging: kwherry300406@direct.centracare.com

Organizations & group practices 6

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

Hospital & facility affiliations 10

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1124297965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 ELM STREET EAST",
            "address_2": "CENTRACARE CLINIC ST JOSEPH FAMILY MEDICINE",
            "city": "ST JOSEPH",
            "state": "MN",
            "postal_code": "563744694",
            "telephone_number": "320-363-7765",
            "fax_number": "320-363-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 ELM STREET EAST",
            "address_2": "CENTRACARE CLINIC ST JOSEPH FAMILY MEDICINE",
            "city": "ST JOSEPH",
            "state": "MN",
            "postal_code": "563744694",
            "telephone_number": "320-363-7765",
            "fax_number": "320-363-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHERRY",
        "first_name": "KATRINA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "25668",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "108777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwherry300406@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kwherry300406@direct.centracare.com",
            "address_1": "1360 Elm Street East",
            "address_2": "Centracare Clinic St Joseph Family Medicine",
            "city": "St Joseph",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563744694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Joseph, MN

Sources for this page

Verify at the official NPI Registry.