Erica Savage Crook, PA-C
Individual provider Active NPI Physician Assistant · Saint Cloud, MN
NPI 1548628985 · NPPES record last updated Apr 15, 2019
Key facts
- NPI
- 1548628985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1200 6TH Ave N
Saint Cloud, MN 56303-2735 - Phone
- (320) 252-3342
- NPI assigned
- Jan 31, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Centracare Clinic
Practice addresses (Care Compare)
1200 6TH Ave N
Saint Cloud, MN 56303-2735
1200 6TH N Ave
Saint Cloud, MN 56303-2735
Phone (320) 252-5131
1406 6TH Ave N
St Cloud, MN 56303-1901
1406 6TH Ave No
St Cloud, MN 56303-1901
1900 Centracare Cir
Saint Cloud, MN 56303-5000
PO Box
Chicago, IL 60673
Hospital & facility affiliations
- Centracare - St. Cloud Hospital
- Centracare Health - Monticello
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160502000048 | MN | Practitioner - Physician Assistant | 1850690504 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current |
Accepting new patients | |
| Centracare Health System-NR LLC | Current |
Accepting new patients | |
| Centracare Clinic | Current |
Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Locations
1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303
2001 Stockinger Dr
#101
Saint Cloud, MN 56303
Phone (320) 200-3236
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
Interoperability endpoints
- ekutzner296264@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1200 6TH Ave N
Saint Cloud, MN 56303-2735
Mailing address
1200 6TH Ave N
Saint Cloud, MN 56303-2735
Other names
- Erica Savage Kutzner
Other providers in Saint Cloud, MN
- Ingrid Cresencio
- Karen Ann Crespo
- Benjamin Cripps
- Criterion Counseling PLLC
- Jessica Cron
- Ashley Crooks
- Britta Kay Crooks
- Crossroads Chiropractic Clinic
- Crow River Family Services LLC
- Bethany Croyle
All providers in Saint Cloud, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2019. 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.