RIVER CITY PSYCHIATRIC SERVICES, LLC
NPI 1053082446
Nurse Practitioner - Psychiatric/Mental Health in Winona, MN

Active since September 24, 2021
902 E 2ND ST STE 113, WINONA, MN 55987(507) 208-7629(507) 607-8671 Get Directions Write a Review

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

Record update history: May 19, 2023, Aug 4, 2022, Mar 9, 2022 and 1 more (4 updates tracked since 2021).

About River City Psychiatric Services, Llc NPPES

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

RIVER CITY PSYCHIATRIC SERVICES, LLC (NPI 1053082446) is a healthcare organization registered as a psychiatric/mental health in Winona, Minnesota and active in the NPI registry since September 2021. The organization lists Sheila M Dunn, Owner, as its authorized official.

NPPES Registry Identity

NPI1053082446
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRIVER CITY PSYCHIATRIC SERVICES, LLC
Location Address902 E 2ND ST STE 113Winona, MN 55987-6355
Mailing Address902 E 2nd St Ste 113Winona, MN 55987-6355 · (507) 208-7629 · Fax (507) 607-8671
Fax(507) 607-8671
Organization SubpartNo
Authorized OfficialSheila M DunnOwner · (507) 208-7629
Enumeration DateSeptember 24, 2021
Last NPPES UpdateJanuary 18, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2025
✔ NPI 1053082446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
902 E 2ND ST STE 113, Winona, MN 55987

Accepted Insurance

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)

River City Psychiatric Services, Llc 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.

StateEnrollment IDDue date
StateMinnesotaEnrollment IDO20220125003181Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to River City Psychiatric Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1629601059
902 E 2ND ST STE 109
Winona, MN 55987
(507) 208-7629
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144092743
360 SHERMAN ST STE 390
Saint Paul, MN 55102
(612) 915-0049
✔ PECOS✔ Accepts Medicare96 mi
Nurse Practitioner
NPI 1760241335
333 SMITH AVE N
Saint Paul, MN 55102
(651) 241-8000
✔ PECOS96 mi

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

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 River City Psychiatric Services, LLC's NPI number?

The NPI number for River City Psychiatric Services, LLC is 1053082446. It was assigned to this organization in the NPPES registry on September 24, 2021.

Where is River City Psychiatric Services, LLC located?

River City Psychiatric Services, LLC is located at 902 E 2nd St Ste 113, Winona, MN 55987. The listed phone number is (507) 208-7629.

What is River City Psychiatric Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is River City Psychiatric Services, LLC enrolled in Medicare?

Yes. River City Psychiatric Services, LLC is registered in the Medicare PECOS enrollment system.

When is River City Psychiatric Services, LLC'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 River City Psychiatric Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to River City Psychiatric Services, 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does River City Psychiatric Services, LLC accept?

Health plans from HealthPartners and Quartz list River City Psychiatric Services, 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 River City Psychiatric Services, LLC was last updated on January 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.