Active NPI
Maria Kearney, PHD, LP
- Neurology Physician
- St Cloud, MN
National Provider Identifier
1689632341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 3728
- Practice address
- 4544 Country Road 123 Ste 134
St Cloud, MN 56303 - Phone
- (320) 258-3833
- Fax
- (320) 253-5741
- NPI assigned
- May 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 3728 | MN | Primary |
Addresses
Primary practice location
4544 Country Road 123 Ste 134
St Cloud, MN 56303
Mailing address
4544 Country Road 123 Ste 134
St Cloud, MN 56303
Phone (320) 258-3833
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012488 | Other | MN | PREFERRED ONE |
| 268J2KE | Other | MN | BLUES |
| 20287 01 | Other | MN | BLUES MN |
| 167907 | Other | MN | UCARE |
| 6107709 | Other | MN | MEDICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689632341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4544 COUNTRY ROAD 123 STE 134",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-258-3833",
"fax_number": "320-253-5741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4544 COUNTRY ROAD 123 STE 134",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-258-3833",
"fax_number": "320-253-5741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "MARIA",
"credential": "PHD, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "3728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1012488",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUES",
"identifier": "268J2KE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUES MN",
"identifier": "20287 01",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "167907",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6107709",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.