Kenneth Legan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9515 Issued in MN

Practice address

251 County Road 120
Saint Cloud, MN 56303-4872

Phone

(320) 202-8949

Fax

(320) 202-0756

NPI assigned

Jun 28, 2006

Last updated

Sep 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centracare - Paynesville Hospital Hospital, Paynesville, MN, CCN 241349
• Mille Lacs Health System Hospital, Onamia, MN, CCN 241356

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: klegan22424@direct.centracare.com

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.

• Ridgeview Medical Center

  dba Ridgeview Medical Center CRNAs

  • Certified Registered Nurse Anesthetist
  • Waconia, MN
  • NPI 1528364429
  Medicare reassignment Care Compare group
• Centracare Health System - Long Prairie

  • Critical Access Hospital
  • Long Prairie, MN
  • NPI 1164471678
  Medicare reassignment NPD
• Centracare Health System - Melrose

  dba CentraCare Health - Melrose Hospital

  • Critical Access Hospital
  • Melrose, MN
  • NPI 1720045073
  Medicare reassignment NPD
• Centracare Health System - Sauk Centre

  dba CentraCare Health - Sauk Centre Clinic

  • Rural Health Clinic/Center
  • Sauk Centre, MN
  • NPI 1578813762
  Medicare reassignment NPD
• Centracare Health System - Sauk Centre

  • Critical Access Hospital
  • Sauk Centre, MN
  • NPI 1740553932
  Medicare reassignment NPD
• Centracare Health-Paynesville LLC

  dba CentraCare Health - Paynesville Hospital

  • Critical Access Hospital
  • Paynesville, MN
  • NPI 1205269941
  Medicare reassignment NPD
• Mille Lacs Health System

  dba Critical Access Hospital

  • Critical Access Hospital
  • Onamia, MN
  • NPI 1548212699
  Medicare reassignment NPD
• St. Francis Regional Medical Center

  dba St. Francis Urgent Care - Southbridge

  • Urgent Care Clinic/Center
  • Shakopee, MN
  • NPI 1447605514
  Medicare reassignment NPD
• Allina Health System

  dba Allina Health Buffalo Specialty Clinic

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342
  Medicare reassignment
• Centracare Health-Paynesville LLC

  dba CentraCare Health - Paynesville Clinic

  • Rural Health Clinic/Center
  • Paynesville, MN
  • NPI 1629402516
  Medicare reassignment
• Park Nicollet Clinic

  • Family Medicine Physician
  • St Louis Park, MN
  • NPI 1780621904
  Medicare reassignment
• Suburban Emergency Associates, P.a.

  • Nurse Practitioner
  • Shakopee, MN
  • NPI 1134173628
  Medicare reassignment

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

• Centracare Health-Paynesville LLC

  dba CentraCare Health - Paynesville Hospital

  • Critical Access Hospital
  • Paynesville, MN
  • NPI 1205269941
  Care Compare affiliation
• Mille Lacs Health System

  dba Critical Access Hospital

  • Critical Access Hospital
  • Onamia, MN
  • NPI 1548212699
  Care Compare affiliation

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1487682704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 COUNTY ROAD 120",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034872",
            "telephone_number": "320-202-8949",
            "fax_number": "320-202-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 COUNTY ROAD 120",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034872",
            "telephone_number": "320-202-8949",
            "fax_number": "320-202-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGAN",
        "first_name": "KENNETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "9515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332145200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elli Leemhuis
• Cassandra Jane Leen
• Penny Leen, NP
• Dustyn Jon Leff
• Legacy House of Caring
• Riley Legatt, RN
• Tiffany Legatt
• Greg J Lehman, DDS
• Rebecca Jo Lehmkuhl, CNP
• Megan Marie Lehn, RN

• Medical Physician Assistant in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Medical Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.