CLEARWATERS CROSBY LLC
NPI 1093389736
Clinic/Center - Mental Health (Including Community Mental Health Center) in Baxter, MN
About Clearwaters Crosby Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEARWATERS CROSBY LLC (NPI 1093389736) is a healthcare organization registered as a mental health (including community mental health center) in Baxter, Minnesota and active in the NPI registry since May 2021. The organization lists Tanya Kubista, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Clearwaters Crosby Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Clearwaters Crosby LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Clearwaters Crosby LLC's NPI number?
The NPI number for Clearwaters Crosby LLC is 1093389736. It was assigned to this organization in the NPPES registry on May 17, 2021.
Where is Clearwaters Crosby LLC located?
Clearwaters Crosby LLC is located at 14091 Baxter Dr Ste 112, Baxter, MN 56425. The listed phone number is (218) 585-2052.
What is Clearwaters Crosby LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Clearwaters Crosby LLC enrolled in Medicare?
Yes. Clearwaters Crosby LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clearwaters Crosby LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Clearwaters Crosby LLC. 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 Clearwaters Crosby LLC accept?
Health plans from HealthPartners list Clearwaters Crosby LLC 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 Clearwaters Crosby LLC was last updated on June 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Clearwaters Crosby Llc · NPI 1093389736
Mental Health (Including Community Mental Health Center) organization in Baxter, Minnesota. Organization record, active in the CMS NPPES registry since May 17, 2021.
## Identity
- **NPI:** 1093389736 (Entity type: Organization)
- **Enumerated:** May 17, 2021
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Tanya Kubista, OWNER
## Practice location
- **Address:** 14091 BAXTER DR STE 112, Baxter, MN 56425-8703
- **Phone:** (218) 585-2052
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Marriage and Family Therapist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2026
- **Other identifiers:** Medicaid 1154711406 (MN); Medicaid 1093389736 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1093389736) · Data from the CMS NPPES public registry.