NPIMap

Organization Active NPI

Simplicity Health PA

  • Family Medicine Physician
  • St Cloud, MN
National Provider Identifier
1780186486
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43953 Issued in MN
Legal business name
SIMPLICITY HEALTH PA
Practice address
3290 42ND Avenue South
Suite 100
St Cloud, MN 56301
Phone
(320) 267-1341
NPI assigned
Mar 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Dr. Julie K Anderson, MDNPI 1801825278
Title
Physician/Owner
Phone
(320) 267-1341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 43953 MN Primary

Addresses

Primary practice location

3290 42ND Avenue South
Suite 100
St Cloud, MN 56301

Mailing address

1511 Northway Dr Ste 103
Saint Cloud, MN 56303-1262
Phone (320) 267-1341

Other practice location 1

1511 Northway Dr Ste 103
Saint Cloud, MN 56303
Phone (320) 267-1341

Other names 1

  • Simplicity Health Direct Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180710001022 MN Part B Supplier - Clinic/Group Practice 1557617354 Receives reassigned benefits from 40 practitioners
Practice locations: Saint Cloud, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1780186486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 NORTHWAY DR STE 103",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031262",
            "telephone_number": "320-267-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 42ND AVENUE SOUTH",
            "address_2": "SUITE 100",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "56301",
            "telephone_number": "320-267-1341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 Northway Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "56303",
            "country_code": "US",
            "telephone_number": "320-267-1341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIMPLICITY HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2021-02-04",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "320-267-1341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "43953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simplicity Health Direct",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.