NPIMap

Individual provider Active NPI

Tess Marie King, PA-C

  • Physician Assistant
  • Albany, MN
National Provider Identifier
1952874836
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12854 Issued in MN
Practice address
30 Railroad Ave
Albany, MN 56307-9379
Phone
(320) 845-2157
NPI assigned
Jan 3, 2019
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 12854 MN Primary

Addresses

Primary practice location

30 Railroad Ave
Albany, MN 56307-9379

Mailing address

5855 Kitkerry CT S
Shoreview, MN 55126-4742
Phone (612) 306-6938

Other practice location 1

320 3rd Ave
Albany, MN 56307-9363
Phone (320) 845-2157

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tking436392@direct.centracare.com Direct

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
I20190305002944 MN Practitioner - Physician Assistant 1355680513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians

Practice addresses (Care Compare)

1200 6TH Ave N
Saint Cloud, MN 56303-2735

1200 6TH N Ave
Saint Cloud, MN 56303-2735
Phone (320) 252-5131

1406 6TH Ave N
St Cloud, MN 56303-1901

1406 6TH Ave No
St Cloud, MN 56303-1901

1900 Centracare Cir
Saint Cloud, MN 56303-5000

PO Box
Chicago, IL 60673

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic CurrentSince Apr 1, 2019 Accepting new patients
Centracare Clinic CurrentSince Apr 1, 2019 Accepting new patients
Group Health, Inc. CurrentSince Apr 4, 2022 Accepting new patients
Group Health, Inc. CurrentSince Apr 4, 2022 Accepting new patients
Centracare Clinic Past Accepting new patients

Locations

30 Railroad Ave
Albany, MN 56307
Phone (320) 845-2157

320 3rd Ave
Albany, MN 56307
Phone (320) 845-2157

715 1st St N
Cold Spring, MN 56320
Phone (320) 685-3693

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

Interoperability endpoints

  • Direct secure messaging: tking436392@direct.centracare.com

Organizations & group practices 6

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 9

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": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1952874836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 KITKERRY CT S",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551264742",
            "telephone_number": "612-306-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 RAILROAD AVE",
            "city": "ALBANY",
            "state": "MN",
            "postal_code": "563079379",
            "telephone_number": "320-845-2157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "MN",
            "postal_code": "563079363",
            "country_code": "US",
            "telephone_number": "320-845-2157",
            "fax_number": "320-845-6138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "TESS",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tking436392@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "tking436392@direct.centracare.com",
            "address_1": "30 Railroad Ave",
            "city": "Albany",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563079379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, MN

Sources for this page

Verify at the official NPI Registry.