NPIMap

Individual provider Active NPI

Kayla Nachbar

  • Physician Assistant
  • Saint Cloud, MN
National Provider Identifier
1164281028
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15500 Issued in MN
Practice address
1406 6TH Ave N
Saint Cloud, MN 56303-1901
Phone
(320) 251-2700
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15500 MN Primary

Addresses

Primary practice location

1406 6TH Ave N
Saint Cloud, MN 56303-1901

Mailing address

2431 120TH Cir NE Unit F
Blaine, MN 55449-2408

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
I20251021000291 MN Practitioner - Physician Assistant 2769970938 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians

Practice addresses (Care Compare)

1200 6TH Ave N
Saint Cloud, MN 56303-2735

1200 6TH N Ave
Saint Cloud, MN 56303-2735
Phone (320) 252-5131

1406 6TH Ave N
St Cloud, MN 56303-1901

1406 6TH Ave No
St Cloud, MN 56303-1901

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15500MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Health-Paynesville LLC CurrentSince Sep 17, 2025 Accepting new patients
Centracare Health System - Long Prairie CurrentSince Sep 17, 2025 Accepting new patients
Centracare Health System-NR LLC CurrentSince Sep 17, 2025 Accepting new patients
St. Cloud Hospital CurrentSince Sep 17, 2025 Accepting new patients
Centracare Clinic CurrentSince Sep 17, 2025 Accepting new patients
Centracare Health-Paynesville LLC Current Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Sep 17, 2025 Accepting new patients
Centracare Health System - Melrose CurrentSince Sep 17, 2025 Accepting new patients
Centracare Health System-NR LLC Current Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Sep 17, 2025 Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients
Centracare Clinic CurrentSince Sep 17, 2025 Accepting new patients
St. Cloud Hospital CurrentSince Sep 17, 2025 Accepting new patients
Centracare Health System - Melrose Past Accepting new patients

Locations

50 Centracare Dr
Long Prairie, MN 56347
Phone (320) 732-2131

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

1107 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2200

200 W 1st St
Paynesville, MN 56362
Phone (320) 243-3767

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1164281028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 120TH CIR NE UNIT F",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554492408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 6TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031901",
            "telephone_number": "320-251-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACHBAR",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.