Individual provider Active NPI

Shawn K Day, DO

  • Family Medicine Physician
  • Saint Cloud, MN
National Provider Identifier
1972549152
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47403 Issued in MN
Practice address
1200 6TH Ave N
Saint Cloud, MN 56303
Phone
(320) 240-2828
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) Physician 207QB0002X 47403 MN
Family Medicine Physician 207Q00000X 47403 MN Primary

Addresses

Primary practice location

1200 6TH Ave N
Saint Cloud, MN 56303

Mailing address

1200 6TH Ave N
Saint Cloud, MN 56303-2735
Phone (320) 240-2828

Other practice location 1

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 240-2828

Other practice location 2

2001 Stockinger Dr Ste 101
Saint Cloud, MN 56303-1243
Phone (320) 534-3096

Other practice location 3

1520 Whitney Court
Centra Care Clinic Heartland
St Cloud, MN 56303
Phone (320) 251-1775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060810000552 MN Practitioner - Family PracticePractitioner - Other (Physician) 2567465628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians

Practice addresses (Care Compare)

101 Willmar Ave SW
Willmar, MN 56201-3556
Phone (320) 231-5000

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

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic CurrentSince Aug 14, 2006 Accepting new patients
Centracare Clinic CurrentSince Aug 14, 2006 Accepting new patients
Centracare Clinic Past Accepting new patients
Centracare Clinic Past Accepting new patients

Locations

12800 Rolling Ridge Rd
Becker, MN 55308
Phone (763) 261-7000

1520 Whitney Ct
Saint Cloud, MN 56303
Phone (320) 240-3160

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

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

2001 Stockinger Dr
#101
Saint Cloud, MN 56303
Phone (320) 200-3236

1555 Northway Dr
Ste 100
Saint Cloud, MN 56303
Phone (320) 240-3114

Interoperability endpoints

  • Direct secure messaging: sday1244@direct.centracare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1972549152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 6TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032735",
            "telephone_number": "320-240-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 6TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-240-2828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 6th Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "56303",
            "country_code": "US",
            "telephone_number": "320-240-2828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Stockinger Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563031243",
            "country_code": "US",
            "telephone_number": "320-534-3096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Whitney Court",
            "address_2": "Centra Care Clinic Heartland",
            "address_purpose": "LOCATION",
            "city": "St Cloud",
            "state": "MN",
            "postal_code": "56303",
            "country_code": "US",
            "telephone_number": "320-251-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAY",
        "first_name": "SHAWN",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "MN",
            "license": "47403",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "47403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.