NORTHWOOD DEACONESS HEALTH CENTER
NPI 1003913518
Medicare Defined Swing Bed Unit in Northwood, ND

Active since September 19, 2006CLIA Certified · 3 labs
4 N PARK ST, NORTHWOOD, ND 58267(701) 587-6060(701) 587-6492 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northwood Deaconess Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWOOD DEACONESS HEALTH CENTER (NPI 1003913518) is a healthcare organization registered as a medicare defined swing bed unit in Northwood, North Dakota and active in the NPI registry since September 2006. The organization holds 3 active CLIA laboratory certificates and lists Brock Sherva, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003913518
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameNORTHWOOD DEACONESS HEALTH CENTER
Location Address4 N PARK STNorthwood, ND 58267-4102
Mailing AddressPo Box 190Northwood, ND 58267-0190 · (701) 587-6060 · Fax (701) 587-6492
Fax(701) 587-6492
Organization SubpartNo
Authorized OfficialBrock ShervaCeo · (701) 587-6060
Enumeration DateSeptember 19, 2006
Last NPPES UpdateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1003913518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
4 N PARK ST, Northwood, ND 58267

Other Identifiers 2

MedicaidDO1918ND
Other1000064Medicare Part B

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwood Deaconess Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Northwood Deaconess Health Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Certified Registered Nurse Anesthetist (CRNA)7
Nurse Practitioner5
Family Practice3
Clinical Social Worker1
Obstetrics/Gynecology1
Registered Dietitian or Nutrition Professional1

Clinicians, nearest first (18)

Nurse Practitioner
NPI 1861844631
4 N PARK ST
Northwood, ND 58267
(701) 587-6060
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326048232
4 N PARK ST
Northwood, ND 58267
(701) 587-6060
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1811417900
4 N PARK ST
Northwood, ND 58267
(701) 587-6060
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376950782
4 N PARK ST
Northwood, ND 58267
(701) 587-6900
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1740486778
104 N PARK ST
Northwood, ND 58267
(701) 587-6000
✔ Accepts Medicare0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033186051
600 1ST ST SE
Mayville, ND 58257
(701) 788-4500
✔ PECOS✔ Accepts Medicare20 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881780146
1451 44TH AVE S
Grand Forks, ND 58201
(701) 780-1700
26 mi
Family Practice
NPI 1073513982
1300 SOUTH COLUMBIA ROAD
Grand Forks, ND 58201
(701) 780-5000
✔ PECOS✔ Accepts Medicare26 mi
Obstetrics/Gynecology
NPI 1598149262
1300 S COLUMBIA RD
Grand Forks, ND 58201
(701) 780-2300
✔ PECOS✔ Accepts Medicare26 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1154718716
1200 S. COLUMBIA RD.
Grand Forks, ND 58201
(218) 779-5669
✔ PECOS✔ Accepts Medicare27 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851664304
1200 S COLUMBIA RD - ALTRU HOSPITAL
Grand Forks, ND 58201
(701) 780-6000
✔ Accepts Medicare27 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1427345586
1300 S COLUMBIA RD
Grand Forks, ND 58206
(701) 780-5000
27 mi
Nurse Practitioner
NPI 1609554914
625 DEMERS AVE
East Grand Forks, MN 56721
(218) 773-5900
✔ PECOS✔ Accepts Medicare29 mi
Family Practice
NPI 1487631032
820 5TH ST N
Carrington, ND 58421
(701) 652-2515
✔ PECOS✔ Accepts Medicare75 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1548407372
2422 20TH ST SW
Jamestown, ND 58401
(701) 252-1050
✔ Accepts Medicare80 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871511410
415 JEFFERSON ST N
Wadena, MN 56482
(218) 631-7589
145 mi
Clinical Social Worker
NPI 1578195038
33215 STATE HIGHWAY 91
Ellsworth, MN 56129
(605) 370-1079
✔ PECOS✔ Accepts Medicare301 mi
Nurse Practitioner
NPI 1760097026
1740 OLD FORT PKWY # 1370
Murfreesboro, TN 37129
(615) 545-6184
✔ PECOS✔ Accepts Medicare1,000 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D0684526

Northwood Deaconess Health Center · Northwood, ND
Active · expires Aug 31, 2028
CLIA Number35D0684526
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorJodie Demenge
Laboratory Phone(701) 587-6060
Laboratory LocationNorthwood Deaconess Health Center4 N Park St, Northwood, ND 58267
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 35D2084246

Northwood Deaconess Health Center Northwood Clinic · Northwood, ND
Active · expires Sep 21, 2028
CLIA Number35D2084246
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 22, 2026
Certificate Expiration DateSeptember 21, 2028
Laboratory DirectorJodie Demenge
Laboratory Phone(701) 587-5889
Laboratory LocationNorthwood Deaconess Health Center Northwood Clinic4 North Park St, Northwood, ND 58267
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 35D0408602

Northwood Deaconess Health Center - Northwood · Northwood, ND
Active · expires May 18, 2028
CLIA Number35D0408602
Laboratory TypeHospital
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorJodie Demenge
Laboratory Phone(701) 587-6950
Laboratory LocationNorthwood Deaconess Health Center - Northwood4 N Park St, Northwood, ND 58267
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwood Deaconess Health Center's NPI number?

The NPI number for Northwood Deaconess Health Center is 1003913518. It was assigned to this organization in the NPPES registry on September 19, 2006.

Where is Northwood Deaconess Health Center located?

Northwood Deaconess Health Center is located at 4 N Park St, Northwood, ND 58267. The listed phone number is (701) 587-6060.

What is Northwood Deaconess Health Center's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Is Northwood Deaconess Health Center enrolled in Medicare?

Yes. Northwood Deaconess Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwood Deaconess Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 6 Medicare specialties reassign their Medicare billing to Northwood Deaconess Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (7), Nurse Practitioner (5) and Family Practice (3). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northwood Deaconess Health Center hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Northwood Deaconess Health Center accept?

Health plans from Blue Cross Blue Shield of North Dakota list Northwood Deaconess Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwood Deaconess Health Center was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.