GWEN LOTTA LCSW
NPI 1053947796
Social Worker - Clinical in Grand Forks, ND
About Gwen Lotta Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GWEN LOTTA LCSW (NPI 1053947796) is an individual clinical provider in Grand Forks, North Dakota, licensed in North Dakota (6309) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gwen Lotta Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Gwen Lotta reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Forks, ND 58201
- Reassigned Medicare billing, Alaska, Minnesota, Montana, North Dakota, New York and South Dakota enrollments
- 70 clinicians in this Medicare group
Vancouver, WA 98661
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Bristol Bay Area Health Corporation
- 360 clinicians in this Medicare group
Sand Point, AK 99661
- Reassigned Medicare billing, Texas enrollment
- 50 clinicians in this Medicare group
Nome, AK 99762
- Reassigned Medicare billing, Alaska enrollment
- Also billed through NPI 1225101041 (Alaska)
- 193 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND FORKS, ND 58201
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 Gwen Lotta's NPI number?
The NPI number for Gwen Lotta is 1053947796. It was assigned to this individual provider in the NPPES registry on March 13, 2020.
Where is Gwen Lotta located?
Gwen Lotta practices at 3674 S Washington St, Grand Forks, ND 58201. The listed phone number is (701) 205-3000.
What is Gwen Lotta's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Gwen Lotta enrolled in Medicare?
Yes. Gwen Lotta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Gwen Lotta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gwen Lotta reassigns Medicare benefits to 4 organizations: Peterson Medical Clinics, LLC (Grand Forks, ND), Cowlitz Indian Tribe (Vancouver, WA), Eastern Aleutian Tribes, Inc (Sand Point, AK) and Norton Sound Health Corporation (Nome, AK). Each 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 Gwen Lotta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gwen Lotta accept?
Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, HealthPartners and PacificSource Health Plans and 3 other insurers list Gwen Lotta 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 Gwen Lotta was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Gwen Lotta, LCSW · NPI 1053947796
Clinical provider in Grand Forks, North Dakota. Individual provider, active in the CMS NPPES registry since March 13, 2020.
## Identity
- **NPI:** 1053947796 (Entity type: Individual)
- **Enumerated:** March 13, 2020
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6309 (North Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3674 S WASHINGTON ST, Grand Forks, ND 58201-5766
- **Phone:** (701) 205-3000 · **Fax:** (701) 732-2501
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Peterson Medical Clinics, LLC (NPI 1699295774, Grand Forks, ND); Cowlitz Indian Tribe (NPI 1538412630, Vancouver, WA); Eastern Aleutian Tribes, Inc (NPI 1346662608, Sand Point, AK); Norton Sound Health Corporation (NPI 1154358232, Nome, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053947796) · Data from the CMS NPPES public registry.