BOIS FORTE RESERVATION TRIBAL GOVERNMENT
NPI 1073530150
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Nett Lake, MN
About Bois Forte Reservation Tribal Government NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOIS FORTE RESERVATION TRIBAL GOVERNMENT (NPI 1073530150) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Nett Lake, Minnesota and active in the NPI registry since July 2006. The organization lists Catherine Chavers, Tribal Chairman, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bois Forte Reservation Tribal Government is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Bois Forte Reservation Tribal Government, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Virginia, MN 55792
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 Bois Forte Reservation Tribal Government's NPI number?
The NPI number for Bois Forte Reservation Tribal Government is 1073530150. It was assigned to this organization in the NPPES registry on July 16, 2006.
Where is Bois Forte Reservation Tribal Government located?
Bois Forte Reservation Tribal Government is located at 5219 St. John Dr, Nett Lake, MN 55772. The listed phone number is (218) 757-3650.
What is Bois Forte Reservation Tribal Government's specialty?
The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.
Is Bois Forte Reservation Tribal Government enrolled in Medicare?
Yes. Bois Forte Reservation Tribal Government is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bois Forte Reservation Tribal Government?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Bois Forte Reservation Tribal Government. 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 Nurse Practitioner (5), Family Practice (2) and Physical Therapist in Private Practice (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bois Forte Reservation Tribal Government was last updated on May 19, 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.
# Bois Forte Reservation Tribal Government · NPI 1073530150
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy organization in Nett Lake, Minnesota. Organization record, active in the CMS NPPES registry since July 16, 2006.
## Identity
- **NPI:** 1073530150 (Entity type: Organization)
- **Enumerated:** July 16, 2006
- **Primary specialty:** Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · taxonomy 332800000X
- **Organization subpart:** No
- **Authorized official:** Catherine Chavers, TRIBAL CHAIRMAN
## Practice location
- **Address:** 5219 ST. JOHN DR, Nett Lake, MN 55772
- **Phone:** (218) 757-3650
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (2), Physical Therapist in Private Practice (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2022
- **Other identifiers:** Other 63G35BO (MN); Medicaid 177515400 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1073530150) · Data from the CMS NPPES public registry.