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

Mrs. Joan Marie Kotila, APRNCNP

Individual provider Registered Nurse · NPI 1700399649

Mrs. Joan Marie Kotila, APRNCNP is a Nurse Practitioner in Saint Cloud, Minnesota. Qualified in 2017, 9 years ago. Practices with Centracare Clinic, a 782-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

251 County Road 120
Saint Cloud, MN 56303-4872
Phone: (320) 202-8949
Fax: (320) 257-1733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5273 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 2019769 (MN)

Record details

NPI number1700399649
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNCNP
Sole proprietorNo
NPI enumeratedNovember 14, 2017
Last updated in NPPESNovember 14, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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