NPIMap

Individual provider Active NPI

Bayley Elayne Holloway, PA-C

  • Physician Assistant
  • Saint Cloud, MN
National Provider Identifier
1386360345
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14417 Issued in MN
Practice address
1900 Centracare Cir Ste 2650
Saint Cloud, MN 56303-5000
Phone
(320) 253-2663
NPI assigned
Oct 12, 2022
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 14417 MN Primary

Addresses

Primary practice location

1900 Centracare Cir Ste 2650
Saint Cloud, MN 56303-5000

Mailing address

1900 Centracare Cir Ste 2650
Saint Cloud, MN 56303-5000
Phone (320) 253-2663

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
I20230327002829 MN Practitioner - Physician Assistant 5799159000 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1900 Centracare Cir
Suite 2650
Saint Cloud, MN 56303-5000
Phone (320) 253-2663

720 Washington Ave SE
Minneapolis, MN 55414-2924
Phone (612) 884-0649

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Aug 1, 2025 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
County of Meeker CurrentSince Sep 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Aug 1, 2025 Accepting new patients
University of Minnesota Physicians CurrentSince Aug 1, 2025 Accepting new patients
County of Meeker Current Accepting new patients
Fairview Express Care CurrentSince Aug 1, 2025 Accepting new patients
University of Minnesota Physicians CurrentSince Aug 1, 2025 Accepting new patients
Welia Health CurrentSince Apr 15, 2023 Accepting new patients
Cardiothoracic Surgery Clinic of North Ms Past Accepting new patients

Locations

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

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0331

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

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

1900 Centracare Cir
Ste 2650
Saint Cloud, MN 56303
Phone (320) 253-2663

1900 Centracare Cir
Ste 500
Saint Cloud, MN 56303
Phone (320) 229-5099

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

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

Interoperability endpoints

  • Direct secure messaging: bholloway@stcloudortho1831.srs-direct.com
  • Direct secure messaging: bholloway626986@excellian.direct.allina.com
  • Direct secure messaging: bholloway665626@direct.centracare.com

Organizations & group practices 13

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 13

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": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1386360345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIR STE 2650",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-253-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIR STE 2650",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-253-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "BAYLEY",
        "middle_name": "ELAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.