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SOUTHWEST MINNESOTA AND SPORTS MEDICINE, INC. - (MARSHALL)
NPI 1063578466
Orthopaedic Surgery in Marshall, MN

Active since December 29, 2006
1401 NWAKAMA ST, SUITE 300, MARSHALL, MN 56258(507) 929-7696(507) 393-7697 Get Directions Write a Review

NPPES record last updated: March 18, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southwest Minnesota And Sports Medicine, Inc. - (marshall) NPPES

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

SOUTHWEST MINNESOTA AND SPORTS MEDICINE, INC. - (MARSHALL) (NPI 1063578466) is a healthcare organization registered as an orthopaedic surgery in Marshall, Minnesota and active in the NPI registry since December 2006. The organization lists Jody L Jackels, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063578466
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSOUTHWEST MINNESOTA ORTHOPEDICS AND SPORTS MEDICINE, INC
Location Address1401 NWAKAMA ST, SUITE 300Marshall, MN 56258-5529
Mailing Address2331 20th StSlayton, MN 56172-1004 · (507) 393-7696
Phone(507) 929-7696
Fax(507) 393-7697
Organization SubpartNo
Authorized OfficialJody L JackelsOffice Manager · (507) 393-7696
Enumeration DateDecember 29, 2006
Last NPPES UpdateMarch 18, 2010
✔ NPI 1063578466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MN · 37196
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1401 NWAKAMA ST, Marshall, MN 56258
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Other Names 1

Doing Business AsSouthwest Minnesota And Sports Medicine, Inc. - (marshall)

Other Identifiers 5

Medicare UPINF86387MN
Medicare ID-Type Unspecified200002200MN · Physician Mn Id
Medicare NSC5227180002MN
Medicare ID-Type UnspecifiedC03689MN · Mn Clinic Number
Medicaid667522100MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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)

Southwest Minnesota And Sports Medicine, Inc. - (marshall) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southwest Minnesota And Sports Medicine, Inc. - (marshall), which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Anthony Nwakama, MD
Orthopedic Surgery
NPI 1588778658
2331 20TH ST
Slayton, MN 56172
(507) 393-7696
✔ PECOS31 mi
Brandon Moeller, DPT
Physical Therapist in Private Practice
NPI 1033667738
1200 S COLUMBIA RD
Grand Forks, ND 58201
(701) 780-6000
✔ Accepts Medicare248 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 Southwest Minnesota Orthopedics And Sports Medicine, Inc's NPI number?

The NPI number for Southwest Minnesota Orthopedics And Sports Medicine, Inc is 1063578466. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Southwest Minnesota And Sports Medicine, Inc. - (marshall).

Where is Southwest Minnesota Orthopedics And Sports Medicine, Inc located?

Southwest Minnesota Orthopedics And Sports Medicine, Inc is located at 1401 Nwakama St Suite 300, Marshall, MN 56258. The listed phone number is (507) 929-7696.

What is Southwest Minnesota Orthopedics And Sports Medicine, Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Southwest Minnesota Orthopedics And Sports Medicine, Inc enrolled in Medicare?

Yes. Southwest Minnesota Orthopedics And Sports Medicine, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest Minnesota Orthopedics And Sports Medicine, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southwest Minnesota Orthopedics And Sports Medicine, Inc, in Orthopedic Surgery and Physical Therapist in Private Practice. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southwest Minnesota Orthopedics And Sports Medicine, Inc accept?

Health plans from Sanford Health Plan list Southwest Minnesota Orthopedics And Sports Medicine, Inc 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 Southwest Minnesota Orthopedics And Sports Medicine, Inc was last updated on March 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.