NPIMap

Individual provider Active NPI

Ginelle Rae Buerman, MD

  • Family Medicine Physician
  • Paynesville, MN
National Provider Identifier
1174055321
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
66659 Issued in MN
Practice address
200 W 1St Street
Paynesville, MN 56362
Phone
(320) 243-3767
Fax
(320) 243-3174
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 66659 MN Primary
Family Medicine Physician 207Q00000X 69904 WI
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

200 W 1St Street
Paynesville, MN 56362

Mailing address

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

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
I20200805002213 MN Practitioner - Family Practice 8224300405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota, Duluth School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare Health-Paynesville LLCGroup PAC ID 1153555719, shared by 4 NPIs, 61 clinicians

Practice addresses (Care Compare)

130 1St St NE
Richmond, MN 56368-8183
Phone (320) 597-2122

200 W 1St St
Paynesville, MN 56362-1445
Phone (320) 243-3767

Hospital & facility affiliations

  • Centracare Home Health Home health agency, Waite Park, MN, CCN 247117
  • Centracare Hospice Hospice, Waite Park, MN, CCN 241500
  • Centracare - Paynesville Hospital Hospital, Paynesville, MN, CCN 241349
  • Centracare - St. Cloud Hospital Hospital, Saint Cloud, MN, CCN 240036
  • Centracare - Paynesville Hospital Nursing home, CCN 24Z349

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66659MNMDFamily Medicine Physician
69904WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Health-Paynesville LLC CurrentSince Jul 1, 2020 Accepting new patients
Centracare Health-Paynesville LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: gzimmerman522470@direct.centracare.com

Organizations & group practices 2

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 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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1174055321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 1ST STREET",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "56362",
            "telephone_number": "320-243-3767",
            "fax_number": "320-243-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 1ST STREET",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "56362",
            "telephone_number": "320-243-3767",
            "fax_number": "320-243-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUERMAN",
        "first_name": "GINELLE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "66659",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "69904",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paynesville, MN

Sources for this page

Verify at the official NPI Registry.