JAMESTOWN REGIONAL MEDICAL CENTER CLINIC
NPI 1073569794
Clinic/Center - Multi-Specialty in Jamestown, ND
About Jamestown Regional Medical Center Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMESTOWN REGIONAL MEDICAL CENTER CLINIC (NPI 1073569794) is a healthcare organization registered as a multi-specialty in Jamestown, North Dakota and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists Michael J Delfs, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted 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)
Jamestown Regional Medical Center Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
95Medicare enrollment records show 95 clinicians reassign Medicare billing to Jamestown Regional Medical Center Clinic, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 15
Nearest to this location (20)
See all 95Jamestown, ND 58401
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 2
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 Waiver 35D0706559
Jamestown Regional Medical Center · Jamestown, NDCertificate of Accreditation 35D0408732
Jamestown Regional Medical Center · Jamestown, NDFrequently 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 Lutheran Charity Association's NPI number?
The NPI number for Lutheran Charity Association is 1073569794. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Jamestown Regional Medical Center Clinic.
Where is Lutheran Charity Association located?
Lutheran Charity Association is located at 2422 20th St SW, Jamestown, ND 58401. The listed phone number is (701) 252-1050.
What is Lutheran Charity Association's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Lutheran Charity Association enrolled in Medicare?
Yes. Lutheran Charity Association is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lutheran Charity Association?
According to the CMS Revalidation Reassignment List (October 2026 release), 95 clinicians in 15 Medicare specialties reassign their Medicare billing to Lutheran Charity Association. 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 Family Practice (30), General Surgery (15) and Certified Registered Nurse Anesthetist (CRNA) (13). Of these, 12 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lutheran Charity Association hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Lutheran Charity Association accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Lutheran Charity Association 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 Lutheran Charity Association was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jamestown Regional Medical Center Clinic · NPI 1073569794
Multi-Specialty organization in Jamestown, North Dakota. Organization record, active in the CMS NPPES registry since May 25, 2006.
## Identity
- **NPI:** 1073569794 (Entity type: Organization)
- **Enumerated:** May 25, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Lutheran Charity Association
- **Organization subpart:** No
- **Authorized official:** Michael Delfs, CEO
## Practice location
- **Address:** 2422 20TH ST SW, Jamestown, ND 58401-6201
- **Phone:** (701) 252-1050 · **Fax:** (701) 952-3265
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 95 clinicians in 15 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (30), General Surgery (15), Certified Registered Nurse Anesthetist (CRNA) (13); 12 practice at this address and 26 within 10 miles; [full list](https://npiprofile.com/npi/1073569794/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2019
- **Other identifiers:** Medicaid 1452302 (ND)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073569794) · Data from the CMS NPPES public registry.