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

Jacob R Dutcher, MD

Individual provider Cardiovascular Disease Physician · NPI 1619000999

Jacob R Dutcher, MD is a Cardiovascular Disease (Cardiology) in St Cloud, Minnesota. Graduated from University of Minnesota Medical School in 2000, 26 years ago. Practices with Centracare Clinic, a 782-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
26
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 Sixth Ave N
St Cloud, MN 56303-2735
Phone: (320) 656-7020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 43641 (MN)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 102900 (MN)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 43641 (MN)

Record details

NPI number1619000999
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2007
Last updated in NPPESMarch 6, 2015

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERVENTIONAL CARDIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2000 (26 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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