ESSENTIA HEALTH ST MARYS MEDICAL CENTER
NPI 1013933936
Clinic/Center - Emergency Care in Duluth, MN
About Essentia Health St Marys Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESSENTIA HEALTH ST MARYS MEDICAL CENTER (NPI 1013933936) is a healthcare organization registered as an emergency care in Duluth, Minnesota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 24, 2027, maintains a secondary practice location in Duluth, and lists Kevin Boren, Vp Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Essentia Health St Marys Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
179Medicare enrollment records show 179 clinicians reassign Medicare billing to Essentia Health St Marys Medical Center, which bills Medicare for the services they deliver. Of these, 76 practice at this address and 122 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 20
Nearest to this location (20)
See all 179Duluth, MN 55805
Duluth, MN 55805
Duluth, MN 55805
Duluth, MN 55805
Duluth, MN 55805
Duluth, MN 55805
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
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 24D2322783
Essentia Health · Duluth, MNFrequently 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 St. Mary's Medical Center's NPI number?
The NPI number for St. Mary's Medical Center is 1013933936. It was assigned to this organization in the NPPES registry on July 14, 2006. The provider is doing business as Essentia Health St Marys Medical Center.
Where is St. Mary's Medical Center located?
St. Mary's Medical Center is located at 407 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-4000.
What is St. Mary's Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Emergency Care, with taxonomy code 261QE0002X.
Is St. Mary's Medical Center enrolled in Medicare?
Yes. St. Mary's Medical Center is registered in the Medicare PECOS enrollment system.
When is St. Mary's Medical Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Minnesota, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through St. Mary's Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 179 clinicians in 20 Medicare specialties reassign their Medicare billing to St. Mary's Medical 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 Emergency Medicine (61), Nurse Practitioner (42) and Family Practice (22). Of these, 76 practice at this address and 122 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St. Mary's Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2322783) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for St. Mary's Medical Center was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Essentia Health St Marys Medical Center · NPI 1013933936
Emergency Care organization in Duluth, Minnesota. Organization record, active in the CMS NPPES registry since July 14, 2006.
## Identity
- **NPI:** 1013933936 (Entity type: Organization)
- **Enumerated:** July 14, 2006
- **Primary specialty:** Clinic/Center - Emergency Care · taxonomy 261QE0002X
- **Legal business name:** St. Mary's Medical Center
- **Organization subpart:** Yes (part of Essentia Health)
- **Authorized official:** Kevin Boren, VP OF FINANCE
## Practice location
- **Address:** 407 E 3RD ST, Duluth, MN 55805-1950
- **Phone:** (218) 786-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Minnesota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 179 clinicians in 20 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (61), Nurse Practitioner (42), Family Practice (22); 76 practice at this address and 122 within 10 miles; [full list](https://npiprofile.com/npi/1013933936/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013933936) · Data from the CMS NPPES public registry.