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Kristin N.m. Ewing , RDLD

Dietitian, Registered • St Cloud, MN

Active NPI 1669420709 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1200 Sixth Ave N, Centracare Clinic
St Cloud, MN 563032735

Call 3202525131 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 Sixth Ave N
Centracare Clinic

St Cloud, MN 563032735

Telephone 3202525131
Organization at the Same NPPES Address or Phone
Centracare Clinic Facility NPI 1003339789

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

CMS Doctors and Clinicians lists 1 group name: Centracare Clinic. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1992

Years since graduation

34 years (graduated 1992)

CMS Doctors and Clinicians data list 1992 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, “Does 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)

Kristin Ewing 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

Compared with the same specialty in St Cloud and Minnesota

11 active clinicians are listed under Dietitian, Registered with a practice address in St Cloud, MN (1,591 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Cloud

18.2% of these 11 clinicians have the CMS telehealth indicator.

27.3% of these 11 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 · Report an error.

Specialties & License Numbers Reported to NPPES

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES MN 2390

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

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

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Hp48003
HEALTHPARTNERS
Other Identifier 6300338
MEDICA
Other Identifier Bcbsm
092ROEW (MN)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20050415000114

Enrollment State Jurisdiction

MN

PECOS Control ID

5395782825

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

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Centracare Clinic

1200 6th Ave N, Saint Cloud, MN 563032735

Phone: 3202525131

Clinicians Sharing This Practice Address or Phone

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

40 listed
Dr. Heba Afeefy , MD, PhD

Psychiatry & Neurology - Neurology

NPI 1295017044

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Bharath Manu Akkara Veetil , MBBS

Internal Medicine - Rheumatology

NPI 1023174323

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

NPI 1407864150

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Safia Ali , MBBS, MD

Internal Medicine

NPI 1861131856

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.), Doctor of Medicine (M.D.)

NPI 1053313692

Doctor of Medicine (M.D.)

Dr. Shakeel Anjum , MD

Internal Medicine - Nephrology

NPI 1639169394

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated May 04, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1669420709
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2006
Last Update: July 19, 2011
Sole Proprietor: No

Other Dietitian, Registereds in St Cloud

Healthcare providers in St Cloud

Mailing Address

1200 Sixth Ave N, Centracare Clinic

St Cloud, MN 563032735

Phone: 3202525131

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.