NPIMap

Individual provider Active NPI

John Michael Stingle, PA

  • Medical Physician Assistant
  • Cloquet, MN
National Provider Identifier
1336505429
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0009530 Issued in CO
Practice address
927 Trettel LN
Cloquet, MN 55720-1345
Phone
(218) 879-1227
Fax
(218) 451-5957
NPI assigned
Jan 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3591 MN
Medical Physician Assistant 363AM0700X PA.0009530 CO Primary
Medical Physician Assistant 363AM0700X 15161 MN

Addresses

Primary practice location

927 Trettel LN
Cloquet, MN 55720-1345

Mailing address

927 Trettel LN
Cloquet, MN 55720-1345
Phone (218) 879-1227

Other practice location 1

5230 Broadway St
Indianapolis, IN 46220-3136
Phone (218) 341-4672

Other practice location 2

203 E Main St
Richmond, IN 47374-4208
Phone (765) 973-9294

Other identifiers 1

IdentifierTypeStateIssuer
300035508MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CO2 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
I20241115000728 MN Practitioner - Physician Assistant 4688973753 Reassigns benefits to 1 organization
I20251216003939 CO Practitioner - Physician Assistant 4688973753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000

927 Trettel LN
Cloquet, MN 55720-1345
Phone (218) 879-1227

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3591MNMDRegistered Dietitian
PA.0009530COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Nov 1, 2025 Accepting new patients
Denver Health and Hospital Authority CurrentSince Nov 1, 2025 Accepting new patients
Fond Du Lac Reservation Business Committee CurrentSince Dec 23, 2024 Accepting new patients

Locations

777 Bannock St
Denver, CO 80204

927 Trettel Ln
Cloquet, MN 55720
Phone (218) 879-1227

Interoperability endpoints

  • Direct secure messaging: john.stingle.p1@direct.fonddulachsd.nextgenshare.com

Organizations & group practices 4

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1336505429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 TRETTEL LN",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201345",
            "telephone_number": "218-879-1227",
            "fax_number": "765-973-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 TRETTEL LN",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201345",
            "telephone_number": "218-879-1227",
            "fax_number": "218-451-5957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462203136",
            "country_code": "US",
            "telephone_number": "218-341-4672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 E Main St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473744208",
            "country_code": "US",
            "telephone_number": "765-973-9294",
            "fax_number": "765-973-9233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STINGLE",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-06",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3591",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0009530",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "15161",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300035508",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

Verify at the official NPI Registry.