Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Julian Richard Luetmer, PA-C

Individual provider Surgical Physician Assistant · NPI 1902151228

Julian Richard Luetmer, PA-C is a Physician Assistant in Saint Cloud, Minnesota. Qualified in 2012, 14 years ago. Practices with Centracare Clinic, a 782-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1200 6th Ave N Centra Care Clinic
Saint Cloud, MN 56303-2735
Phone: (320) 252-3322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 11189 (MN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1762 (MN)

Record details

NPI number1902151228
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 24, 2012
Last updated in NPPESOctober 14, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Saint Cloud