NORTHWEST DAKOTA SURGERY CENTER LLC
NPI 1023899234
Clinic/Center - Ambulatory Surgical in Minot, ND

Active since October 12, 2023CLIA 35D2313858 · Waiver
1002 18TH AVENUE SE, MINOT, ND 58701(714) 234-6728 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 8, 2024, Oct 13, 2023 (2 updates tracked since 2023).

About Northwest Dakota Surgery Center Llc NPPES

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

NORTHWEST DAKOTA SURGERY CENTER LLC (NPI 1023899234) is a healthcare organization registered as an ambulatory surgical in Minot, North Dakota and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through November 6, 2026 and lists Suzanne Hawthorn, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1023899234
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTHWEST DAKOTA SURGERY CENTER LLC
Location Address1002 18TH AVENUE SEMinot, ND 58701
Mailing Address2370 Anselmo DrCorona, CA 92879-7106 · (714) 234-6728
Organization SubpartNo
Authorized OfficialSuzanne HawthornBusiness Office Manager · (714) 234-6728
Enumeration DateOctober 12, 2023
Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1023899234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedSurgeryTaxonomy 208600000X
1002 18TH AVENUE SE, Minot, ND 58701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Northwest Dakota Surgery Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Northwest Dakota Surgery Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Certified Registered Nurse Anesthetist (CRNA)7
Orthopedic Surgery6
Nurse Practitioner3
General Surgery1
Ophthalmology1
Pain Management1
Plastic and Reconstructive Surgery1

Clinicians, nearest first (20)

Pain Management
NPI 1255355467
1002 18TH AVE SE
Minot, ND 58701
(701) 852-6143
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1326034018
1002 18TH AVE SE
Minot, ND 58701
(701) 852-6143
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598104119
400 BURDICK EXPY E
Minot, ND 58701
(701) 857-7388
✔ PECOS✔ Accepts Medicare1.3 mi
Orthopedic Surgery
NPI 1477551422
101 3RD AVE SW
Minot, ND 58701
(701) 857-5500
✔ PECOS1.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1891033049
1 BURDICK EXPY W
Minot, ND 58701
(701) 857-5124
✔ Accepts Medicare1.8 mi
Ophthalmology
NPI 1801258017
2815 16TH ST SW
Minot, ND 58701
(701) 857-3500
✔ PECOS✔ Accepts Medicare1.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1992193403
2305 37TH AVE SW
Minot, ND 58701
(701) 857-5000
2.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1669839353
2305 37TH AVE SW
Minot, ND 58701
(701) 857-5000
✔ Accepts Medicare2.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1225570930
2975 HIGHWAY 2 E
Rugby, ND 58368
(701) 776-5261
60 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205557857
300 N 7TH ST
Bismarck, ND 58501
(701) 323-6000
✔ Accepts Medicare100 mi
Nurse Practitioner
NPI 1902220296
300 N 7TH ST
Bismarck, ND 58501
(605) 391-1752
✔ PECOS✔ Accepts Medicare100 mi
Nurse Practitioner
NPI 1184916850
310 N 9TH ST
Bismarck, ND 58501
(701) 530-8800
✔ PECOS✔ Accepts Medicare100 mi
Orthopedic Surgery
NPI 1588873186
310 N 9TH ST
Bismarck, ND 58501
(701) 530-8800
✔ PECOS✔ Accepts Medicare100 mi
Orthopedic Surgery
NPI 1740575851
310 N 9TH ST
Bismarck, ND 58501
(701) 530-8800
✔ PECOS✔ Accepts Medicare100 mi
Orthopedic Surgery
NPI 1972521870
310 N 9TH ST
Bismarck, ND 58501
(701) 530-8800
✔ PECOS✔ Accepts Medicare100 mi
Orthopedic Surgery
NPI 1508842154
310 N 9TH ST
Bismarck, ND 58501
(701) 530-8800
✔ PECOS✔ Accepts Medicare100 mi
Orthopedic Surgery
NPI 1124046016
310 N 9TH ST
Bismarck, ND 58501
(701) 530-8800
✔ PECOS✔ Accepts Medicare100 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871009696
353 FAIRMONT BLVD
Rapid City, SD 57701
(605) 755-1000
✔ PECOS✔ Accepts Medicare302 mi
General Surgery
NPI 1104051101
520 S EAGLE RD
Meridian, ID 83642
(208) 381-6930
✔ PECOS✔ Accepts Medicare792 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1891918306
#1 BURDICK EXPY. W.
Minot, ND 58701
(701) 857-5124
✔ Accepts Medicare

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 35D2313858

Northwest Dakota Surgery Center, LLC · Minot, ND
Active · expires Nov 6, 2026
CLIA Number35D2313858
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorCumani Blendi
Laboratory Phone(701) 852-6153
Laboratory LocationNorthwest Dakota Surgery Center, LLC1002 18th Ave SE, Minot, ND 58701
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Northwest Dakota Surgery Center LLC's NPI number?

The NPI number for Northwest Dakota Surgery Center LLC is 1023899234. It was assigned to this organization in the NPPES registry on October 12, 2023.

Where is Northwest Dakota Surgery Center LLC located?

Northwest Dakota Surgery Center LLC is located at 1002 18th Avenue SE, Minot, ND 58701. The listed phone number is (714) 234-6728.

What is Northwest Dakota Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Northwest Dakota Surgery Center LLC enrolled in Medicare?

Yes. Northwest Dakota Surgery Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Dakota Surgery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 7 Medicare specialties reassign their Medicare billing to Northwest Dakota Surgery Center LLC. 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), Orthopedic Surgery (6) and Nurse Practitioner (3). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northwest Dakota Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2313858) is associated with this NPI, valid through November 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northwest Dakota Surgery Center LLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Northwest Dakota Surgery Center LLC 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 Northwest Dakota Surgery Center LLC was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.