Individual provider Active NPI

Maureen L Kemper, MD

  • Family Medicine Physician
  • St Cloud, MN
National Provider Identifier
1184719437
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26264 Issued in MN
Practice address
1900 Centracare Cir, #1450
Centracare Clinic Health Plaza Specialty/Family Medicin
St Cloud, MN 56303-5000
Phone
(320) 229-4917
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26264 MN Primary

Addresses

Primary practice location

1900 Centracare Cir, #1450
Centracare Clinic Health Plaza Specialty/Family Medicin
St Cloud, MN 56303-5000

Mailing address

1900 Centracare Cir, #1450
Centracare Clinic Health Plaza Specialty/Family Medicin
St Cloud, MN 56303-5000
Phone (320) 229-4917

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
I20031112000402 MN Practitioner - Family Practice 2163335381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians

Practice addresses (Care Compare)

1900 Centracare Cir
Suite 1450
Saint Cloud, MN 56303-5000
Phone (320) 229-4917

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic CurrentSince Mar 1, 2016 Accepting new patients
Centracare Clinic Current Accepting new patients
St Cloud Medical Group PA Current Accepting new patients
Centracare Clinic CurrentSince Mar 1, 2016 Accepting new patients
Centracare Clinic Past Accepting new patients
Centracare Clinic Past Accepting new patients

Locations

12800 Rolling Ridge Rd
Becker, MN 55308
Phone (763) 261-7000

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

1900 Centracare Cir
#1450
Saint Cloud, MN 56303
Phone (320) 229-4917

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

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

1900 Centracare Cir
#500
Saint Cloud, MN 56303
Phone (320) 229-5099

1900 Centracare Cir
Ste 1450
Saint Cloud, MN 56303
Phone (320) 229-4917

1301 W Saint Germain St
Saint Cloud, MN 56301
Phone (320) 251-8181

251 County Road 120
Sartell, MN 56303
Phone (320) 202-8949

Interoperability endpoints

  • Direct secure messaging: mkemper21112@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 and National Provider Directory roles.

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1184719437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIR, #1450",
            "address_2": "CENTRACARE CLINIC HEALTH PLAZA SPECIALTY/FAMILY MEDICIN",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-229-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIR, #1450",
            "address_2": "CENTRACARE CLINIC HEALTH PLAZA SPECIALTY/FAMILY MEDICIN",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-229-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "MAUREEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "26264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Cloud, MN

Sources for this page

Verify at the official NPI Registry.