NPIMap

Individual provider Active NPI

Stephen A Leard

  • Physician Assistant
  • Sauk Centre, MN
National Provider Identifier
1568199586
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14134 Issued in MN
Practice address
425 Elm St N
Sauk Centre, MN 56378-1010
Phone
(320) 352-2221
NPI assigned
Aug 1, 2022
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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 14134 MN Primary

Addresses

Primary practice location

425 Elm St N
Sauk Centre, MN 56378-1010

Mailing address

13544 Wilken Rd NW
Brandon, MN 56315-8204
Phone (218) 330-9300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sleard634333@direct.centracare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909002400 MN Practitioner - Physician Assistant 6002291135 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Region Healthcare Corporation CurrentSince Oct 28, 2023 Accepting new patients
Centracare Health System - Long Prairie CurrentSince Aug 1, 2022 Accepting new patients
Centracare Health-Paynesville LLC CurrentSince Feb 1, 2025 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Oct 28, 2023 Accepting new patients
Centracare Health System - Long Prairie CurrentSince Aug 1, 2022 Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients
Lake Region Healthcare Corporation CurrentSince Oct 28, 2023 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Oct 28, 2023 Accepting new patients

Locations

1411 Highway 79 E
Elbow Lake, MN 56531
Phone (218) 685-7300

649 State St NW
Evansville, MN 56326
Phone (218) 948-2040

712 S Cascade St
Fergus Falls, MN 56537

50 Centracare Dr
Long Prairie, MN 56347
Phone (320) 732-2131

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

200 W 1st St
Paynesville, MN 56362
Phone (320) 243-3767

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1568199586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13544 WILKEN RD NW",
            "city": "BRANDON",
            "state": "MN",
            "postal_code": "563158204",
            "telephone_number": "218-330-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ELM ST N",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563781010",
            "telephone_number": "320-352-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARD",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-01",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sleard634333@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sleard634333@direct.centracare.com",
            "address_1": "425 Elm St N",
            "city": "Sauk Centre",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563781010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sauk Centre, MN

Sources for this page

Verify at the official NPI Registry.