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

Shelly M Staska, MD

Individual provider Family Medicine Physician · NPI 1114097136

Shelly M Staska, MD is a Family Practice in Willmar, Minnesota. Graduated from University of Minnesota Medical School in 2000, 26 years ago. Practices with Centracare Clinic Southwest LLC, a 172-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
26
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

101 Willmar Ave SW
Willmar, MN 56201
Phone: (320) 231-5000
Fax: (320) 231-5026
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 46869 (MN)

Record details

NPI number1114097136
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESJuly 8, 2007
Mailing address101 Willmar Ave Sw, Willmar, MN 56201

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2000 (26 years in practice)
Group practice Centracare Clinic Southwest Llc — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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