Individual provider Active NPI

Carol A. Klimek, PA-C

  • Physician Assistant
  • Eagle Bend, MN
National Provider Identifier
1457645749
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
815 Hwy 71 South
Eagle Valley Clinic - a Service of Centracare Health Sy
Eagle Bend, MN 56446
Phone
(218) 738-2804
Fax
(218) 738-5263
NPI assigned
Jun 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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 Primary

Addresses

Primary practice location

815 Hwy 71 South
Eagle Valley Clinic - a Service of Centracare Health Sy
Eagle Bend, MN 56446

Mailing address

20 9TH St SE
Centracare Health System - Long Prairie
Long Prairie, MN 56303-1404
Phone (320) 732-2141

Other practice location 1

111 17th Ave E
Alexandria, MN 56308-5273
Phone (320) 762-1511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cklimek23010@direct.centracare.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000791 MN Practitioner - Physician Assistant 6305010505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alomere HealthGroup PAC ID 9931690047, 123 clinicians

Practice addresses (Care Compare)

111 17TH Ave E
Alexandria, MN 56308-5273
Phone (320) 762-1511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Pathology and Laboratory Medicine PA Current Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients

Locations

111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511

1500 Irving St
Alexandria, MN 56308
Phone (320) 762-0857

Interoperability endpoints

  • Direct secure messaging: cklimek23010@direct.centracare.com
  • Direct secure messaging: carol.klimek.1@31026.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1457645749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 9TH ST SE",
            "address_2": "CENTRACARE HEALTH SYSTEM - LONG PRAIRIE",
            "city": "LONG PRAIRIE",
            "state": "MN",
            "postal_code": "563031404",
            "telephone_number": "320-732-2141",
            "fax_number": "320-732-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HWY 71 SOUTH",
            "address_2": "EAGLE VALLEY CLINIC - A SERVICE OF CENTRACARE HEALTH SY",
            "city": "EAGLE BEND",
            "state": "MN",
            "postal_code": "56446",
            "telephone_number": "218-738-2804",
            "fax_number": "218-738-5263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 17th Ave E",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563085273",
            "country_code": "US",
            "telephone_number": "320-762-1511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLIMEK",
        "first_name": "CAROL",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cklimek23010@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cklimek23010@direct.centracare.com",
            "address_1": "50 Centracare Dr",
            "city": "Long Prairie",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563472100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eagle Bend, MN

Sources for this page

Verify at the official NPI Registry.