Active NPI
Michele Marie Garcia, PA-C
- Physician Assistant
- Saint Cloud, MN
National Provider Identifier
1669455242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9371
- Practice address
- 2420 W Division St
Saint Cloud, MN 56301-3926 - Phone
- (320) 253-5366
- NPI assigned
- Nov 28, 2005
- Last updated
- Mar 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9371 | MN | Primary |
| Family Medicine Physician | 207Q00000X | 9371 | MN |
Addresses
Primary practice location
2420 W Division St
Saint Cloud, MN 56301-3926
Mailing address
2420 West Division Street
CVS Minuteclinic
St Cloud, MN 56301-3926
Phone (320) 253-5366
Other practice location 1
161 Glen Street #101
CentraCare Quick Clinic Foley
Foley, MN 56329
Phone (320) 656-7128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413292100 | Medicaid | MN |
Other names 1
- Michele M McNaughton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Past | Accepting new patients | |
| Catalyst Medical Clinic PA | Past | Accepting new patients | |
| Premier OBGYN of Minnesota PLLC | Past | Accepting new patients | |
| Central Minnesota Neurosciences LTD | Past | Accepting new patients |
Interoperability endpoints
- mgarcia382590@direct.centracare.com
- michele.garcia.1@26566.direct.athenahealth.com
- michele.garcia.2@26566.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Watertown, MN
- NPI 1457456691
-
dba CentraCare - Plaza Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
-
- Neurological Surgery Physician
- Saint Cloud, MN
- NPI 1972520773
-
- Obstetrics & Gynecology Physician
- Edina, MN
- NPI 1801946223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1669455242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 WEST DIVISION STREET",
"address_2": "CVS MINUTECLINIC",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "563013926",
"telephone_number": "320-253-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 W DIVISION ST",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563013926",
"telephone_number": "320-253-5366"
}
],
"practiceLocations": [
{
"address_1": "161 Glen Street #101",
"address_2": "CentraCare Quick Clinic Foley",
"address_purpose": "LOCATION",
"city": "Foley",
"state": "MN",
"postal_code": "56329",
"country_code": "US",
"telephone_number": "320-656-7128",
"fax_number": "763-241-7338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "MICHELE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-28",
"last_updated": "2022-03-22",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "9371",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "9371",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "413292100",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "MCNAUGHTON",
"middle_name": "M",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.