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Matthew Molenaar

Pediatrics β€’ Saint Cloud, MN

Active NPI 1053871194 Individual Practitioner Male Practitioner
Practice location in NPPES

1200 6th Ave N
Saint Cloud, MN 563032736

Call 3202512700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1200 6th Ave N

Saint Cloud, MN 563032736

Telephone 3202512700
Organization at the Same NPPES Address or Phone
Centracare Clinic Facility NPI 1538696323

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Milwaukee, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Matthew Molenaar has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Matthew Molenaar as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Saint Cloud and Minnesota

26 active clinicians are listed under Pediatrics with a practice address in Saint Cloud, MN (1,292 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Cloud

0% of these 26 clinicians have the CMS telehealth indicator.

15.4% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-19
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MN 71786

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20221021000202

Enrollment State Jurisdiction

MN

PECOS Control ID

3779913280

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

9000 W Wisconsin Ave

Milwaukee, WI 53226

Phone: 4149558296

9000 W Wisconsin Ave

Milwaukee, WI 53226

Phone: 4149558296

1200 6th Ave N

Saint Cloud, MN 563032736

Phone: 3202512700

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
Dr. Lucas Bachmann , MD

Psychiatry & Neurology - Psychiatry

NPI 1003137449

Doctor of Medicine (M.D.)

Todd Belling , RN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1114918695

Registered Nurse, Certified Registered Nurse Anesthetist

Kalie Bisel , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043840036

Certified Registered Nurse Anesthetist

Charles Doucet , CRNA

Nurse Anesthetist, Certified Registered

NPI 1063444149

Certified Registered Nurse Anesthetist

Dr. Matthew Eggebrecht , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1073962395

Doctor of Medicine (M.D.)

Dr. Amelia Fierro-Fine , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1013353358

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 19, 2022

Registered at 1200 6TH AVE N, SAINT CLOUD, MN 563032736 (Tel: 3202512700)

πŸ“
Updated Business Mailing Address August 19, 2022

Registered at 1200 6TH AVE N, SAINT CLOUD, MN 563032736

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2022

Pediatrics (license number reported to NPPES: MN 71786)

βœ…
NPI Profile Active March 24, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 24, 2019

Registered at 9000 W WISCONSIN AVE, MILWAUKEE, WI 53226 (Tel: 4149558296)

πŸ“
Business Mailing Address (Initial Record) March 24, 2019

Registered at 9000 W WISCONSIN AVE, MILWAUKEE, WI 532264874

πŸ‘€
Provider Name / Credentials (Initial Record) March 24, 2019

Recorded as MATTHEW MOLENAAR

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 24, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053871194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2019
Last Update: August 19, 2022
Sole Proprietor: No

Other Pediatrics Specialists in Saint Cloud

All Pediatrics Specialists in Saint Cloud

Mailing Address

1200 6th Ave N

Saint Cloud, MN 563032736

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.