Penelope J Smith (NPI# 1124003751, PAC ID# 7810066263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124003751 |
| PAC ID by PECOS | 7810066263 |
| Professional Enrollment ID | I20080527000465 |
| Full Name | Penelope J Smith |
| Organization Legal Name | CENTRACARE HEALTH SYSTEM |
| Address |
1900 Centracare Cir Suite 2400 Saint Cloud MN 56303-5000 |
| Phone Number | 3202295099 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8729990833 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240036 | ST CLOUD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 | 3202295099 | CENTRACARE HEALTH SYSTEM |
| Organization Legal Name | CENTRACARE HEALTH SYSTEM |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalia K Becker | Physician Assistant | Centracare Health System | 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 |
| Maureen L Kemper | Family Medicine | Centracare Health System | 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 |
| Paul R Carey | Family Medicine | Centracare Health System | 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 |
| Jessica M Brysky | Physician Assistant | Centracare Health System | 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 |
| Stephen J Rapatz-harr | Physician Assistant | Centracare Health System | 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 |
| Breeanna M Waletzko | Nurse Practitioner | Centracare Health System | 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 |
| Daniel J Gerwing | Physician Assistant | Centracare Health System | 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 |
| Danielle Commerford | Nurse Practitioner | Centracare Health System | 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 |
| Kristina M Lelcu | Family Medicine | Centracare Health System | 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 |
| Clinton J Billhorn | Physician Assistant | Centracare Health System | 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 |
| Street Address |
1900 CENTRACARE CIR SUITE 2400 |
| City | SAINT CLOUD |
| State | MN |
| Zip | 56303-5000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalia K Becker | Physician Assistant | Centracare Health System | 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 |
| Tracy A Roehl | Nurse Practitioner | Centracare Clinic | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 |
| Eyas Abla | Internal Medicine | Centracare Clinic | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 |
| Paul M Heath | Plastic and Reconstructive Surgery | Centracare Clinic | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 |
| Sheila M Christen | Physical Therapy | St Cloud Hospital | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 |
| Maureen L Kemper | Family Medicine | Centracare Health System | 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 |
| Paul R Carey | Family Medicine | Centracare Health System | 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 |
| Jessica M Brysky | Physician Assistant | Centracare Health System | 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 |
| Stephen J Rapatz-harr | Physician Assistant | Centracare Health System | 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303-5000 |
| Carl M Melling | Family Medicine | Centracare Clinic | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene J Beniek | Clinical Social Worker | 32104 Stearns County Rd, Suite 1, St Cloud, MN 56303 | |
| Troy A Payne | Sleep Medicine | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Troy A Scott | Family Medicine | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Keith J Leavell | Critical Care (intensivists) | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Piyush Das | General Practice | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Paul M Wenner | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Deborah A Scattarelli | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Cathy S Klick | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Barbara A Carver | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Judith L Huber | Psychologist, Clinical | Catholic Charities of The Diocese of St Cloud | 911 - 18th St N, Saint Cloud, MN 56303-1203 |
| Find all physicians in zip 56303 | |||
| City | SAINT CLOUD |
| Zip Code | 56303 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAINT CLOUD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Penelope J Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.