SANFORD HEALTH PRIMEWEST RESIDENTIAL SUPPORT CENTER
NPI 1093278764
Community Based Residential Treatment Facility, Mental Illness in Bemidji, MN
About Sanford Health Primewest Residential Support Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANFORD HEALTH PRIMEWEST RESIDENTIAL SUPPORT CENTER (NPI 1093278764) is a healthcare organization registered as a community based residential treatment facility, mental illness in Bemidji, Minnesota and active in the NPI registry since April 2019. The organization lists Tony Lee Morrison, Vice President, Revenue Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sanford Health Primewest Residential Support Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
603Medicare enrollment records show 603 clinicians reassign Medicare billing to Sanford Health Primewest Residential Support Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 219 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 54
Nearest to this location (20)
See all 603Source: 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 Sanford Health Of Northern Minnesota's NPI number?
The NPI number for Sanford Health Of Northern Minnesota is 1093278764. It was assigned to this organization in the NPPES registry on April 10, 2019. The provider is doing business as Sanford Health Primewest Residential Support Center.
Where is Sanford Health Of Northern Minnesota located?
Sanford Health Of Northern Minnesota is located at 3124 Hannah Ave NW, Bemidji, MN 56601. The listed phone number is (218) 333-2300.
What is Sanford Health Of Northern Minnesota's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
Is Sanford Health Of Northern Minnesota enrolled in Medicare?
Yes. Sanford Health Of Northern Minnesota is registered in the Medicare PECOS enrollment system.
When is Sanford Health Of Northern Minnesota's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Minnesota, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Sanford Health Of Northern Minnesota?
According to the CMS Revalidation Reassignment List (October 2026 release), 603 clinicians in 54 Medicare specialties reassign their Medicare billing to Sanford Health Of Northern Minnesota. 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 (83), Certified Registered Nurse Anesthetist (CRNA) (51) and Emergency Medicine (46). Of these, 1 practice at this address and 219 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Sanford Health Of Northern Minnesota accept?
Health plans from Sanford Health Plan list Sanford Health Of Northern Minnesota 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 Sanford Health Of Northern Minnesota was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sanford Health Primewest Residential Support Center · NPI 1093278764
Community Based Residential Treatment Facility, Mental Illness organization in Bemidji, Minnesota. Organization record, active in the CMS NPPES registry since April 10, 2019.
## Identity
- **NPI:** 1093278764 (Entity type: Organization)
- **Enumerated:** April 10, 2019
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Legal business name:** Sanford Health Of Northern Minnesota
- **Organization subpart:** Yes (part of Sanford)
- **Authorized official:** Tony Morrison, VICE PRESIDENT, REVENUE CYCLE
## Practice location
- **Address:** 3124 HANNAH AVE NW, Bemidji, MN 56601-5625
- **Phone:** (218) 333-2300 · **Fax:** (218) 333-0317
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Minnesota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 603 clinicians in 54 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (83), Certified Registered Nurse Anesthetist (CRNA) (51), Emergency Medicine (46); 1 practice at this address and 219 within 10 miles; [full list](https://npiprofile.com/npi/1093278764/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1093278764) · Data from the CMS NPPES public registry.