NPIMap

Individual provider Active NPI

Kurt M Devine, M.D.

  • Family Medicine Physician
  • Sartell, MN
National Provider Identifier
1457377657
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33505 Issued in MN
Practice address
1908 Kruchten CT S
Sartell, MN 56377-4645
Phone
(320) 774-1080
NPI assigned
Jul 14, 2006
Last updated
Apr 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33505 MN Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 33505 MN

Addresses

Primary practice location

1908 Kruchten CT S
Sartell, MN 56377-4645

Mailing address

1908 Kruchten CT S
Sartell, MN 56377-4645
Phone (320) 774-1080

Other practice location 1

811 2nd St SE
Little Falls, MN 56345-3558
Phone (320) 631-7000

Other identifiers 8

IdentifierTypeStateIssuer
097702100MedicaidMN
080056694OtherRR MEDICARE
HP10317OtherHEALTH PARTNERS
NA9230454502OtherPREFERRED ONE
0120122OtherMEDICA
A003OtherMNTRICARE
107207C736OtherMNUCARE MINNESOTA
28638DEOtherMNBCBS OF MINNESOTA

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
I20050110000550 MN Practitioner - Family Practice 4587612270 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Cloud HospitalGroup PAC ID 4880594779, 215 clinicians

Practice addresses (Care Compare)

1406 6TH Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic Current Accepting new patients
St. Cloud Hospital Current Accepting new patients
Unity Family Healthcare Current Accepting new patients
Unity Family Healthcare CurrentSince Jan 4, 2014 Accepting new patients
Centracare Clinic CurrentSince Jan 1, 2022 Accepting new patients
St. Cloud Hospital CurrentSince Jan 1, 2022 Accepting new patients
Centracare Clinic CurrentSince Jan 1, 2022 Accepting new patients
Unity Family Healthcare Current Accepting new patients
St. Cloud Hospital CurrentSince Jan 1, 2022 Accepting new patients
Unity Family Healthcare CurrentSince Jan 4, 2014 Accepting new patients
Centracare Clinic Past Accepting new patients
Centracare Clinic Past Accepting new patients
Unity Family Healthcare Physician Services PastSince Jul 7, 2018 Accepting new patients
St. Joseph's Medical Center Past Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

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

811 2nd St SE
Little Falls, MN 56345
Phone (320) 631-7000

811 2nd St SE
Ste A
Little Falls, MN 56345
Phone (320) 631-7000

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1301 33rd St S
Saint Cloud, MN 56301
Phone (320) 240-6955

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

251 County Road 120
Sartell, MN 56303
Phone (320) 202-8949

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

Interoperability endpoints

  • Direct secure messaging: kdevine611156@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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1457377657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 KRUCHTEN CT S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774645",
            "telephone_number": "320-774-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 KRUCHTEN CT S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774645",
            "telephone_number": "320-774-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 2nd St SE",
            "address_purpose": "LOCATION",
            "city": "Little Falls",
            "state": "MN",
            "postal_code": "563453558",
            "country_code": "US",
            "telephone_number": "320-631-7000",
            "fax_number": "320-632-0534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "KURT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "33505",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MN",
            "license": "33505",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097702100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080056694",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP10317",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "NA9230454502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0120122",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A003",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MINNESOTA",
            "identifier": "107207C736",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MINNESOTA",
            "identifier": "28638DE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.