NPIMap

Individual provider Active NPI

Lina Daugela, MD PHD

  • Family Medicine Physician
  • Saint Cloud, MN
National Provider Identifier
1245419134
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51890 Issued in MN
Practice address
251 County Road 120
Centracare Clinic St Cloud Medical Group Northwest
St Cloud, MN 56303-4872
Phone
(320) 202-8949
Fax
(320) 257-1733
NPI assigned
Oct 29, 2007
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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 51890 MN Primary

Addresses

Primary practice location

251 County Road 120
Centracare Clinic St Cloud Medical Group Northwest
St Cloud, MN 56303-4872

Mailing address

251 County Road 120
Centracare Clinic St Cloud Medical Group Northwest
St Cloud, MN 56303-4872
Phone (320) 202-8949

Other identifiers 1

IdentifierTypeStateIssuer
12083MedicaidND

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ldaugela194802@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091110000707 MN Practitioner - Family Practice 5395883409 Reassigns benefits to 6 organizations
I20221110002723 SD Practitioner - Family Practice 5395883409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

1303 N Lacrosse St
Rapid City, SD 57701-6956
Phone (605) 755-6600

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51890MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Apr 2, 2012 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Oct 4, 2022 Accepting new patients
Monument Health Rapid City Hospital, Inc. Family Medicine CurrentSince Oct 4, 2022 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Allina Health System CurrentSince Jul 18, 2012 Accepting new patients
Allina Health System Current Accepting new patients
Fairview Clinics CurrentSince Jun 29, 2011 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Jun 29, 2011 Accepting new patients
St. Francis Regional Medical Center CurrentSince Apr 14, 2023 Accepting new patients
Allina Health System Family Medicine CurrentSince Dec 31, 2022 Accepting new patients
Fairview Health Services CurrentSince Jun 29, 2011 Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Apr 2, 2012 Accepting new patients
Fairview Clinics CurrentSince Jun 29, 2011 Accepting new patients
Allina Health System CurrentSince Jul 18, 2012 Accepting new patients
St Francis Regional Medical Center CurrentSince Apr 14, 2023 Accepting new patients
Centracare Clinic Past Accepting new patients
Centracare Clinic Past Accepting new patients
DRS Swan & Brennan Inc Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

14000 Nicollet Ave
Ste 100
Burnsville, MN 55337
Phone (950) 985-8275

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

7373 France Ave S
Ste 202
Minneapolis, MN 55435
Phone (952) 835-1311

301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

8170 Old Carriage Ct
Ste 100
Shakopee, MN 55379
Phone (952) 428-3600

1303 N Lacrosse St
Rapid City, SD 57701
Phone (605) 755-6600

2116 Jackson Blvd
Rapid City, SD 57702
Phone (605) 755-3300

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

Interoperability endpoints

  • Direct secure messaging: ldaugela194802@excellian.direct.allina.com
  • Direct secure messaging: ldaugela389467@direct.centracare.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1245419134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 COUNTY ROAD 120",
            "address_2": "CENTRACARE CLINIC ST CLOUD MEDICAL GROUP NORTHWEST",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563034872",
            "telephone_number": "320-202-8949",
            "fax_number": "320-257-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 COUNTY ROAD 120",
            "address_2": "CENTRACARE CLINIC ST CLOUD MEDICAL GROUP NORTHWEST",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563034872",
            "telephone_number": "320-202-8949",
            "fax_number": "320-257-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGELA",
        "first_name": "LINA",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "51890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12083",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldaugela194802@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "251 County Road 120",
            "address_2": "CentraCare Clinic St Cloud Medical Group Northwest",
            "city": "St Cloud",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563034872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.