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

Krista Moran

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508442120

Krista Moran is a Physician Assistant in Saint Cloud, Minnesota. Qualified in 2022, 4 years ago. Practices with Centracare Clinic, a 782-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1406 6th Ave N
Saint Cloud, MN 56303-1900
Phone: (320) 255-5855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508442120
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing address4394 Mason Ct Ne, Saint Michael, MN 55376-1070

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Saint Cloud