Gayle Christine Leen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9471 Issued in MN

Practice address

Centracare Clinic St John's
2850 Abbey Plaza Hlthc 109
Collegeville, MN 56321

Phone

(320) 656-7105

Fax

(320) 200-3247

NPI assigned

Jun 14, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Northwest Family Physicians PAGroup PAC ID 0042102956, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Northwest Family Physicians PA

  dba Northwest Family Clinics

  • Family Medicine Physician
  • Crystal, MN
  • NPI 1548366867
  Medicare reassignment Care Compare group
• Centracare Clinic

  dba CentraCare - St. Joseph Clinic

  • Multi-Specialty Clinic/Center
  • Saint Joseph, MN
  • NPI 1134121759
  NPD (past)
• Centracare Clinic

  dba CentraCare - Plaza Clinic

  • Multi-Specialty Clinic/Center
  • Saint Cloud, MN
  • NPI 1225030844
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1538102520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRACARE CLINIC ST JOHN'S",
            "address_2": "2850 ABBEY PLAZA HLTHC 109",
            "city": "COLLEGEVILLE",
            "state": "MN",
            "postal_code": "56321",
            "telephone_number": "320-656-7105",
            "fax_number": "320-200-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRACARE CLINIC ST JOHN'S",
            "address_2": "2850 ABBEY PLAZA HLTHC 109",
            "city": "COLLEGEVILLE",
            "state": "MN",
            "postal_code": "56321",
            "telephone_number": "320-656-7105",
            "fax_number": "320-200-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEN",
        "first_name": "GAYLE",
        "middle_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Robert Bierscheid, A.T.C.
• Group Health Plan, Inc. (HealthPartners Central Minnesota Clinics on the Campus of Saint John's)
• Eileen Johanna Haeg, PA-C
• Novacare Outpatient Rehabilitation East, Inc. (NovaCare Rehabilitation)
• Order of St. Benedict (St. John's University Health Center)
• Radar, LLC (RADAR Counseling)
• Holly Nichole Remmenga, ATC
• Justin Michael Rost, ATC, CSCS, MSE

• Physician Assistant in Collegeville, MN
• Providers in Collegeville, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.