Paul A Spinner, MD
Individual provider Active NPI Family Medicine Physician · Becker, MN
NPI 1538141908 · NPPES record last updated Dec 13, 2011
Key facts
- NPI
- 1538141908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 41730 (MN)
- Practice address
- 12800 Rolling Ridge Rd
Centracare Clinic
Becker, MN 55308-8838 - Phone
- (763) 261-7000
- Fax
- (763) 261-7004
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Creighton University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ladd Memorial Hospital
Practice addresses (Care Compare)
2600 65TH Ave
Osceola, WI 54020-4370
Phone (715) 294-2111
PO Box
Suite 218
Osceola, WI 54020-0218
Hospital & facility affiliations
- Ladd Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100303000697 | MN | Practitioner - Family Practice | 8123163045 | Reassigns benefits to 1 organization |
| I20250528000844 | WI | Practitioner - Family Practice | 8123163045 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41730 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current |
Accepting new patients | |
| Ladd Memorial Hospital | Current |
Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current |
Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| Ladd Memorial Hospital | Past | Accepting new patients |
Locations
12800 Rolling Ridge Rd
Becker, MN 55308
Phone (763) 261-7000
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 41730 | MN | Yes |
Addresses
Primary practice location
12800 Rolling Ridge Rd
Centracare Clinic
Becker, MN 55308-8838
Mailing address
12800 Rolling Ridge Rd
Centracare Clinic
Becker, MN 55308-8838
Phone (763) 261-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121596 | Other | U CARE | |
| 846385 | Other | ARAZ GROUP | |
| 2116687 | Other | FIRST HEALTH PLAN | |
| HP28636 | Other | HEALTH PARTNERS | |
| 86D78SP | Other | BLUE CROSS BLUE SHIELD | |
| 0115819 | Other | MEDICA HEALTH PLANS | |
| 1019892 | Other | PREFERRED ONE | |
| 433517100 | Other | MEDICAL ASSISTANCE |
Other providers in Becker, MN
- Scheideman Chiropractic and Body Shop
- Brent Scheideman
- Catarina Schroeder
- Shepherd of Grace, LLC
- Snoring and Sleep Apnea Center PA
- Stay Awhile Therapy PLLC
- Timberwolf Anesthesia SC
- Joel Toedter
- Total Health Chiropractic and Sport, LLC
- Ubunttu Healing Practices and Consulting
All providers in Becker, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.