Active NPI
Cynthia R Robertson, C.N.P.
- Family Nurse Practitioner
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R-115456-0
- Practice address
- 1900 Centracare Circle
Centracare Clinic - Health Plaza Specialties
St Cloud, MN 56303-5000 - Phone
- (320) 229-4907
- NPI assigned
- Mar 3, 2006
- Last updated
- Jul 30, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | MNR1154560 | MN | |
| Family Nurse Practitioner | 363LF0000X | R-115456-0 | MN | Primary |
Addresses
Primary practice location
1900 Centracare Circle
Centracare Clinic - Health Plaza Specialties
St Cloud, MN 56303-5000
Mailing address
1900 Centracare Circle
Centracare Clinic - Health Plaza Specialties
St Cloud, MN 56303-5000
Phone (320) 229-4907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251220300 | Medicaid | MN |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MNR1154560 | MN | MD | Family Nurse Practitioner |
| R-115456-0 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Health Systems | Current | Accepting new patients | |
| St Cloud Pathologists PA | Current | Accepting new patients | |
| Regional Diagnostic Radiology | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Health-Paynesville LLC | Past | Accepting new patients | |
| Paynesville Area Hospital District | 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
1555 Northway Dr
Ste 200
Saint Cloud, MN 56303
Phone (320) 240-3157
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
Interoperability endpoints
- crobertson939@direct.centracare.com
Organizations & group practices 8
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.
-
dba CentraCare Laboratory Services
- Clinical Medical Laboratory
- Saint Cloud, MN
- NPI 1326097833
-
- Diagnostic Radiology Physician
- Sartell, MN
- NPI 1417935321
-
- Clinical Pathology/Laboratory Medicine Physician
- Saint Cloud, MN
- NPI 1396717633
-
dba Centra Care Family Health Center
- Clinic/Center
- Saint Cloud, MN
- NPI 1770532426
-
dba CentraCare - St. Joseph Clinic
- Multi-Specialty Clinic/Center
- Saint Joseph, MN
- NPI 1134121759
-
dba CentraCare - Plaza Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
-
dba CentraCare Health - Paynesville Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Paynesville, MN
- NPI 1457786972
-
dba Watkins Medical Clinic
- Critical Access Hospital Clinic/Center
- Watkins, MN
- NPI 1720046071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1912974395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 CENTRACARE CIRCLE",
"address_2": "CENTRACARE CLINIC - HEALTH PLAZA SPECIALTIES",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "563035000",
"telephone_number": "320-229-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 CENTRACARE CIRCLE",
"address_2": "CENTRACARE CLINIC - HEALTH PLAZA SPECIALTIES",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "563035000",
"telephone_number": "320-229-4907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "CYNTHIA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "MNR1154560",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R-115456-0",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251220300",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.