Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dustyn Jon Leff

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124873740

Dustyn Jon Leff is a Family Practice in Saint Cloud, Minnesota. Qualified in 2024, 2 years ago. Practices with Centracare Clinic, a 782-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

1555 Northway Dr Ste 200
Saint Cloud, MN 56303-4913
Phone: (320) 240-3112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1124873740
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 18, 2024
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address1555 Northway Dr Ste 200, Saint Cloud, MN 56303-4913

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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