GEORGEANNA DUL KNUTSON (CNP) – Nurse Practitioner, NPI 1811080104

GEORGEANNA DUL KNUTSON (CNP) is a healthcare provider. based in Saint cloud, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. R-115788-4 (MN). The NPI Number for GEORGEANNA DUL KNUTSON (CNP) is 1811080104

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
GEORGEANNA DUL KNUTSON (CNP)
NPI
1811080104
Phone
(320) 229-5099
Address
1900 CENTRACARE CIR
Enumeration Date
1 October 2006
Last Update Date
12 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2188245027
Graduation Year
2001 (25 years ago)
PAC ID
2961401005
Group Practice PAC ID
1658762646
Professional Enrollment ID
I20061219000047
Address ID
MN563531123MI190XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for GEORGEANNA DUL KNUTSON (CNP)

  • 1900, Centracare Circle, Shady Oak Mobile Park, St. Cloud, Stearns County, Minnesota, 56303, United States

    SUITE 500

    SAINT CLOUD, MN 563035000

    Phone: (320) 229-5099

    Fax: (320) 229-5171

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061219000047INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658762646View full group profile
NameSpecialtyState
Physician AssistantMN
Physician AssistantMN
Nurse PractitionerMN
Physician AssistantNC
Nurse PractitionerMN
Nurse PractitionerMN
Physician AssistantMN
Physician AssistantMN
Nurse PractitionerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What unique ID ties claims to GEORGEANNA DUL KNUTSON (CNP)?
NPI 1811080104 is assigned to GEORGEANNA DUL KNUTSON (CNP) under the national enumeration system.
Is GEORGEANNA DUL KNUTSON (CNP) active in the national directory?
GEORGEANNA DUL KNUTSON (CNP)'s public NPI profile is in an active state.
What field does GEORGEANNA DUL KNUTSON (CNP) work in?
You can think of GEORGEANNA DUL KNUTSON (CNP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place GEORGEANNA DUL KNUTSON (CNP)?
The snapshot lists Saint Cloud, Minnesota for GEORGEANNA DUL KNUTSON (CNP); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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