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LIBERTY HEALTH PLLC
NPI 1093471484
Clinic/Center - Multi-Specialty in Detroit Lakes, MN

Active since November 10, 2021
1361 WENNER RD, DETROIT LAKES, MN 56501(218) 396-6500 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Liberty Health Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY HEALTH PLLC (NPI 1093471484) is a healthcare organization registered as a multi-specialty in Detroit Lakes, Minnesota and active in the NPI registry since November 2021. The organization lists Scott Allen Lawrence, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1093471484
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLIBERTY HEALTH PLLC
Location Address1361 WENNER RDDetroit Lakes, MN 56501-7918
Mailing Address1361 Wenner RdDetroit Lakes, MN 56501-7918 · (218) 396-6500
Phone(218) 396-6500
Organization SubpartNo
Authorized OfficialScott Allen LawrenceClinical Director · (218) 779-7005
Enumeration DateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
✔ NPI 1093471484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1361 WENNER RD, Detroit Lakes, MN 56501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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)

Liberty Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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.

StateEnrollment IDDue date
StateMinnesotaEnrollment IDO20220121002406Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Liberty Health PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Scott Lawrence, MD
Family Practice
NPI 1407874076
1361 WENNER RD
Detroit Lakes, MN 56501
(218) 396-6500
✔ PECOS✔ Accepts MedicareSame address

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 Liberty Health PLLC's NPI number?

The NPI number for Liberty Health PLLC is 1093471484. It was assigned to this organization in the NPPES registry on November 10, 2021.

Where is Liberty Health PLLC located?

Liberty Health PLLC is located at 1361 Wenner Rd, Detroit Lakes, MN 56501. The listed phone number is (218) 396-6500.

What is Liberty Health PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Liberty Health PLLC enrolled in Medicare?

Yes. Liberty Health PLLC is registered in the Medicare PECOS enrollment system.

When is Liberty Health PLLC'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 January 31, 2027. 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 Liberty Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Liberty Health PLLC. 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 Liberty Health PLLC accept?

Health plans from Sanford Health Plan list Liberty Health PLLC 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 Liberty Health PLLC was last updated on November 10, 2021. 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.