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Deactivated NPI 1700869021 Deactivated / Inactive NPI Female Practitioner

Dr. Mary A Stiles , MD

Internal Medicine • Saint Cloud, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mary Stiles has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 21, 2005
NPI Deactivation Date October 11, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Mary Stiles, MD was a registered Internal Medicine practicing in Saint Cloud, MN. Throughout an active medical career spanning 17 years, Dr. Stiles provided care at the practice location at 1520 NORTHWAY DR until profile deactivation on 2022-10-11.

Practice Location & Contact Primary Location

Practice Address

1520 Northway Dr
Centracare Clinic Heartland

Saint Cloud, MN 563034478

Telephone 3202511775
Fax 3202403131
Associated Practice Facility / Clinic
🏢 Centracare Clinic Facility NPI 1881696490

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.1 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
48 Specialists

Practicing in Saint Cloud, MN (2726 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MN 21001

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
NPI 1184615031

Doctor of Medicine (M.D.)

NPI 1194716043

Doctor of Medicine (M.D.)

NPI 1225078389

Master of Social Work, Licensed Independent Clinical Social Worker

Gina Wippler , PA-C

Physician Assistant

NPI 1265524136

Physician Assistant (Certified)

Dr. John Sebas , MD

Family Medicine

NPI 1275500233

Doctor of Medicine (M.D.)

Nicole Meier , CNP

Nurse Practitioner - Family

NPI 1427589530

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 11, 2022

Record deactivated on October 11, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1520 NORTHWAY DR, CENTRACARE CLINIC HEARTLAND, SAINT CLOUD, MN 563034478 (Tel: 3202511775)

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Updated Business Mailing Address July 08, 2007

Registered at 1520 NORTHWAY DR, CENTRACARE CLINIC HEARTLAND, SAINT CLOUD, MN 563034478 (Tel: 3202511775)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARY STILES, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #21001 in MN)

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Initial NPI Registration & Enumeration November 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700869021
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2005
Last Update: July 08, 2007
Deactivation Date: October 11, 2022

Mailing Address

1520 Northway Dr, Centracare Clinic Heartland

Saint Cloud, MN 563034478

Phone: 3202511775

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.