ESSENTIA HEALTH GRAND RAPIDS CLINIC
NPI 1063942977
Clinic/Center - Multi-Specialty in Grand Rapids, MN
About Essentia Health Grand Rapids Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESSENTIA HEALTH GRAND RAPIDS CLINIC (NPI 1063942977) is a healthcare organization registered as a multi-specialty in Grand Rapids, Minnesota and active in the NPI registry since June 2017. The organization holds an CLIA Accreditation certificate valid through September 9, 2027 and lists Marsha Green, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Essentia Health Grand Rapids Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
171Medicare enrollment records show 171 clinicians reassign Medicare billing to Essentia Health Grand Rapids Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 25
Nearest to this location (20)
See all 171Grand Rapids, MN 55744
Grand Rapids, MN 55744
Grand Rapids, MN 55744
Deer River, MN 56636
Deer River, MN 56636
Deer River, MN 56636
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 Accreditation 24D1078962
Essentia Health Grand Rapids Clinic · Grand Rapids, 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 Deer River Healthcare Center Inc's NPI number?
The NPI number for Deer River Healthcare Center Inc is 1063942977. It was assigned to this organization in the NPPES registry on June 13, 2017. The provider is doing business as Essentia Health Grand Rapids Clinic and Essentia Health Grand Rapids Specialty Clinic.
Where is Deer River Healthcare Center Inc located?
Deer River Healthcare Center Inc is located at 1542 Golf Course Rd Ste 202, Grand Rapids, MN 55744. The listed phone number is (218) 999-7000.
What is Deer River Healthcare Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Deer River Healthcare Center Inc enrolled in Medicare?
Yes. Deer River Healthcare Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deer River Healthcare Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 171 clinicians in 25 Medicare specialties reassign their Medicare billing to Deer River Healthcare Center Inc. 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 (53), Nurse Practitioner (45) and Family Practice (15). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Deer River Healthcare Center Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 24D1078962) is associated with this NPI, valid through September 9, 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 Deer River Healthcare Center Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Grand Rapids Clinic · NPI 1063942977
Multi-Specialty organization in Grand Rapids, Minnesota. Organization record, active in the CMS NPPES registry since June 13, 2017.
## Identity
- **NPI:** 1063942977 (Entity type: Organization)
- **Enumerated:** June 13, 2017
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Deer River Healthcare Center Inc
- **Also known as:** Essentia Health Grand Rapids Specialty Clinic (Doing Business As)
- **Organization subpart:** Yes (part of St. Mary's Duluth Clinic Health System)
- **Authorized official:** Marsha Green, COO
## Practice location
- **Address:** 1542 GOLF COURSE RD STE 202, Grand Rapids, MN 55744-3557
- **Phone:** (218) 999-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 171 clinicians in 25 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (53), Nurse Practitioner (45), Family Practice (15); 4 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1063942977/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063942977) · Data from the CMS NPPES public registry.