Courtney Leigh Minadakis, PA-C
NPI 1245679695ActiveIndividual· Physician Assistant· Saint Cloud, MN
Physician Assistant (PA-C) with Centracare Clinic, practicing in Saint Cloud, Minnesota. 57 Medicare patients in 2024, $6,757 paid; nearly all of their 77 Part D prescriptions were generic (96%). Lists Centracare - St. Cloud Hospital as a hospital affiliation.
Overview
| NPI | 1245679695 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 19, 2013 |
| Last updated in NPPES | Apr 18, 2024 |
| Certified by provider | Apr 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 11399 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 130 across 44 procedure codes |
| Paid by Medicare | $6,757 |
Part D prescriptions in 2024
| Prescriptions (claims) | 77 · 77 30-day fills |
|---|---|
| Patients | 66 |
| Total drug cost | $350.91 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Centracare ClinicSaint Cloud, MN · 791 clinicians
Hospital affiliation
- Centracare - St. Cloud HospitalSaint Cloud, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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