Physician Management Services of Minnesota, LLC
NPI 1699413187ActiveOrganization· Family Medicine· Saint Cloud, MN
Family Medicine in Saint Cloud, Minnesota, registered in NPPES in May 2022, part of Vaxcare Corporation. The authorized official on file is Brett Kenefick, President.
Overview
| NPI | 1699413187 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Vaxcare Corporation |
| NPI issued | May 24, 2022 |
| Last updated in NPPES | Jul 24, 2026 |
| Certified by provider | Jul 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in Saint Cloud
- 1538826771
- 1437892536
- 1346860632
- 1093195489
- 1801825278
- 1124095609
- 1982191250
- 1487684098
- 1720238835
- 1659490001
- 1518602820
- 1659869766