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

Timothy Mangold, PA-C

Individual provider Medical Physician Assistant · NPI 1043370315

Timothy Mangold, PA-C is a Physician Assistant in Saint Cloud, Minnesota. Qualified in 2013, 13 years ago. Practices with Centracare Clinic, a 782-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
13
Licensed in
IA
In the registry since
2006
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

1301 33rd St S
Saint Cloud, MN 56301-9668
Phone: (320) 251-8181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2557 N Dodge St, Iowa City, IA 52245-9556 — (319) 384-8822

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 002420 (IA)

Record details

NPI number1043370315
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2006
Last updated in NPPESJune 17, 2021
Certification dateJune 16, 2021
Mailing address2557 N Dodge St, Iowa City, IA 52245-9556

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Saint Cloud