NPIMap

Individual provider Active NPI

Amy Corinne Dearking, M.D.

  • Otolaryngology Physician
  • Saint Cloud, MN
National Provider Identifier
1588828206
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
51891 Issued in MN
Practice address
1528 Northway Dr
Saint Cloud, MN 56303-1255
Phone
(320) 252-0233
Fax
(320) 252-1421
NPI assigned
Jul 11, 2008
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 51891 MN Primary

Addresses

Primary practice location

1528 Northway Dr
Saint Cloud, MN 56303-1255

Mailing address

1528 Northway Dr
Saint Cloud, MN 56303-1255
Phone (320) 252-0233

Other identifiers 3

IdentifierTypeStateIssuer
ENROLLEDMedicaidIA
ENROLLEDMedicaidMN
P01173520OtherMNRAILRAOD MEDICARE

Other names 1

  • Amy Corinne Post Former name

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
I20090903000733 MN Practitioner - Otolaryngology 6103971635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Mayo Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Cloud Ear Nose and Throat Clinic PAGroup PAC ID 5496774242, 14 clinicians

Practice addresses (Care Compare)

1528 Northway Dr
Saint Cloud, MN 56303-1255
Phone (320) 252-0233

425 Elm N St
Sauk Centre, MN 56378-1010
Phone (320) 352-2221

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51891MNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Cloud Hospital Current Accepting new patients
St. Cloud Ear, Nose & Throat Clinic, P.a. Otolaryngology CurrentSince Aug 19, 2013 Accepting new patients
St. Cloud Hospital CurrentSince Mar 1, 2015 Accepting new patients
Mayo Clinic Past Accepting new patients

Locations

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

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1528 Northway Dr
Saint Cloud, MN 56303
Phone (320) 252-0233

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

Interoperability endpoints

  • Direct secure messaging: adearking112285@direct.centracare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1588828206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 NORTHWAY DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031255",
            "telephone_number": "320-252-0233",
            "fax_number": "320-252-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 NORTHWAY DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031255",
            "telephone_number": "320-252-0233",
            "fax_number": "320-252-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARKING",
        "first_name": "AMY",
        "middle_name": "CORINNE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "51891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE",
            "identifier": "P01173520",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "POST",
            "middle_name": "CORINNE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.