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

Individual provider Physician Assistant · NPI 1447827480

Stephanie Krueger, PA-C is a Physician Assistant in Detroit Lakes, Minnesota. Qualified in 2021, 5 years ago. Practices with St Marys Regional Health Center, a 188-clinician group and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
5
Licensed in
MN, ND
In the registry since
2021
Specialties on file
3
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

1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone: (218) 847-5611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13807 (MN)
Physician Assistant Taxonomy 363A00000X · Licence PAC0887 (ND)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1447827480
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2021
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Marys Regional Health Center — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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