Alicia M. Glimsdal, APRN, CNP
Individual provider Active NPI Primary Care Nurse Practitioner · Paynesville, MN
NPI 1225449192 · NPPES record last updated May 30, 2019
Key facts
- NPI
- 1225449192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 657 (MN)
- Practice address
- Centracare Health Paynesville Hospital
200 W 1St St
Paynesville, MN 56362-1445 - Phone
- (320) 243-3767
- Fax
- (320) 243-7519
- NPI assigned
- May 14, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centracare Clinic
Practice addresses (Care Compare)
1200 6TH Ave N
Centracare Clic River Campus
Saint Cloud, MN 56303-2735
Phone (320) 252-5131
Hospital & facility affiliations
- Centracare Hospice
- Centracare Hospice
- Centracare - Paynesville Hospital
- Centracare - St. Cloud Hospital
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151007002875 | MN | Practitioner - Nurse Practitioner | 8426366675 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 657 | MN | MD | Marriage & Family Therapist |
| R 190448-0 | MN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current |
Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Health-Paynesville LLC | Current |
Accepting new patients | |
| Centracare Clinic | Current |
Accepting new patients | |
| Centracare Health-Paynesville LLC | Current |
Accepting new patients |
Locations
200 W 1st St
Paynesville, MN 56362
Phone (320) 243-3767
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
Interoperability endpoints
- aglimsdal423370@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 657 | MN | |
| Adult Health Nurse Practitioner | 363LA2200X | R 190448-0 | MN | |
| Gerontology Nurse Practitioner | 363LG0600X | R 190448-0 | MN | |
| Gerontology Nurse Practitioner | 363LG0600X | 657 | MN | |
| Primary Care Nurse Practitioner | 363LP2300X | R 190448-0 | MN | |
| Primary Care Nurse Practitioner | 363LP2300X | 657 | MN | Yes |
Addresses
Primary practice location
Centracare Health Paynesville Hospital
200 W 1St St
Paynesville, MN 56362-1445
Mailing address
Centracare Health Paynesville Hospital
200 W 1St St
Paynesville, MN 56362-1445
Phone (320) 243-3767
Other practice location 1
502 2nd St SW Ste 1
Willmar, MN 56201
Phone (320) 235-7232
Other providers in Paynesville, MN
- Dan Eckmann
- Jennifer Jo Eckmann
- Fischer Laser Eye Center, LLC
- Lauren A Foster
- Robert N Gardner
- Dodi Greeley
- Elizabeth Pauline Greguson-Puppe
- GRX Holdings LLC
- Lori Kay Haag
- Kurt Alan Habben
All providers in Paynesville, MN · Primary Care Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2019. 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.