Active NPI
Kelly Winter, CNP
- Women's Health Nurse Practitioner
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R128866-9
- Practice address
- 1900 Centra Care Circle
Centra Care Clinic Womens Childrens
St Cloud, MN 56303 - Phone
- (320) 654-3630
- NPI assigned
- Jan 27, 2006
- Last updated
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R128866-9 | MN | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | R1288669 | MN |
Addresses
Primary practice location
1900 Centra Care Circle
Centra Care Clinic Womens Childrens
St Cloud, MN 56303
Mailing address
1900 Centra Care Circle
Centra Care Clinic Womens Childrens
St Cloud, MN 56303
Phone (320) 654-3630
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1045420 | Other | PREFERRED ONE | |
| HP56438 | Other | HEALTH PARTNERS | |
| 135486 | Other | UCARE | |
| 07-04519 | Other | MEDICA | |
| 2384629 | Other | AMERICA'S PPO (ARAZ) | |
| 434G5WI | Other | MN | BCBS MN |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
1900 Centracare Cir
Saint Cloud, MN 56303-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2500 | MN | MD | Athletic Trainer |
| R128866-9 | MN | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| St Cloud Medical Group PA | Past | Accepting new patients |
Locations
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
#2300
Saint Cloud, MN 56303
Phone (320) 654-3610
Interoperability endpoints
- kwinter1008@direct.centracare.com
Organizations & group practices 5
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.
-
dba CentraCare - River Campus Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1043212665
-
dba CentraCare - Plaza Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
-
dba CentraCare Occupations Health
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
-
dba CentraCare - St. Joseph Clinic
- Multi-Specialty Clinic/Center
- Saint Joseph, MN
- NPI 1134121759
-
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1487690996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1285605592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 CENTRA CARE CIRCLE",
"address_2": "CENTRA CARE CLINIC WOMENS CHILDRENS",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-654-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 CENTRA CARE CIRCLE",
"address_2": "CENTRA CARE CLINIC WOMENS CHILDRENS",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-654-3630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTER",
"first_name": "KELLY",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MN",
"license": "R128866-9",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "MN",
"license": "R1288669",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1045420",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP56438",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "135486",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "07-04519",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO (ARAZ)",
"identifier": "2384629",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "434G5WI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.