NPIMap

Individual provider Active NPI

Brian N. Krogstad, P.A.C.

  • Physician Assistant
  • Sartell, MN
National Provider Identifier
1346279254
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10049 Issued in MN
Practice address
1901 Connecticut Ave. S
Sartell, MN 56377
Phone
(320) 259-4100
Fax
(320) 259-8044
NPI assigned
Jul 2, 2006
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10049 MN Primary

Addresses

Primary practice location

1901 Connecticut Ave. S
Sartell, MN 56377

Mailing address

1901 Connecticut Ave. S
Sartell, MN 56377
Phone (320) 259-4100

Other practice location 1

3315 Roosevelt Rd Ste 200B
Saint Cloud, MN 56301-9687
Phone (320) 259-4100

Other identifiers 1

IdentifierTypeStateIssuer
297165800MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051128000548 MN Practitioner - Physician Assistant 9931129509 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Cloud Orthopedic Associates LTDGroup PAC ID 0143113951, 44 clinicians

Practice addresses (Care Compare)

1901 Connecticut Ave S
Sartell, MN 56377-2554
Phone (320) 259-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10049MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Welia Health CurrentSince Jul 20, 2015 Accepting new patients
County of Meeker CurrentSince Aug 1, 2024 Accepting new patients
Astera Health CurrentSince Jul 2, 2023 Accepting new patients
St. Joseph's Medical Center CurrentSince Oct 1, 2020 Accepting new patients
Astera Health CurrentSince Jul 2, 2023 Accepting new patients
St Joseph's Medical Center CurrentSince Oct 1, 2020 Accepting new patients
County of Meeker CurrentSince Aug 1, 2024 Accepting new patients
County of Meeker Current Accepting new patients
Welia Health CurrentSince Jul 20, 2015 Accepting new patients

Locations

2014 S 6th St
Brainerd, MN 56401
Phone (218) 829-7812

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242

301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317

3315 Roosevelt Rd
Ste 200B
Saint Cloud, MN 56301
Phone (320) 259-4100

1901 Connecticut Ave S
Sartell, MN 56377
Phone (320) 259-4100

415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510

Interoperability endpoints

  • Direct secure messaging: bkrogstad@stcloudortho1831.srs-direct.com
  • Direct secure messaging: bkrogstad885@direct.centracare.com

Organizations & group practices 14

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 14

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1346279254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CONNECTICUT AVE. S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "56377",
            "telephone_number": "320-259-4100",
            "fax_number": "320-259-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CONNECTICUT AVE. S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "56377",
            "telephone_number": "320-259-4100",
            "fax_number": "320-259-8044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3315 Roosevelt Rd Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563019687",
            "country_code": "US",
            "telephone_number": "320-259-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROGSTAD",
        "first_name": "BRIAN",
        "middle_name": "N.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "10049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297165800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.