JOHNSON MEMORIAL HEALTH SERVICES
NPI 1093745051
General Acute Care Hospital - Critical Access in Dawson, MN

Active since July 04, 2006CLIA Certified · 4 labs
1282 WALNUT ST, DAWSON, MN 56232(320) 769-4323(320) 769-2972 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Johnson Memorial Health Services NPPES

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

JOHNSON MEMORIAL HEALTH SERVICES (NPI 1093745051), doing business as Johnson Memorial Hospital, is a healthcare organization registered as a critical access in Dawson, Minnesota and active in the NPI registry since July 2006. The organization holds 4 active CLIA laboratory certificates and lists Jacob William Redepenning, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093745051
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameJOHNSON MEMORIAL HEALTH SERVICES
Location Address1282 WALNUT STDawson, MN 56232-2333
Mailing Address1282 Walnut StDawson, MN 56232-2333 · (320) 769-4323 · Fax (320) 769-2972
Fax(320) 769-2972
Organization SubpartNo
Authorized OfficialJacob William RedepenningCeo · (320) 312-2101
Enumeration DateJuly 4, 2006
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1093745051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code282NC0060X
1282 WALNUT ST, Dawson, MN 56232

Other Names 1

Doing Business AsJohnson Memorial Hospital

Other Identifiers 1

Medicaid808845400MN

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)

Johnson Memorial Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

32

Medicare enrollment records show 32 clinicians reassign Medicare billing to Johnson Memorial Health Services, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner14
Family Practice4
General Surgery3
Orthopedic Surgery2
Otolaryngology2
Cardiovascular Disease (Cardiology)1
Certified Registered Nurse Anesthetist (CRNA)1
Emergency Medicine1
4 other specialties4

Nearest to this location (20)

See all 32
Nurse Practitioner
NPI 1578166815
1282 WALNUT ST
Dawson, MN 56232
(320) 312-2145
✔ PECOSSame address
Nurse Practitioner
NPI 1326009630
1282 WALNUT ST
Dawson, MN 56232
(320) 769-4323
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619746948
1282 WALNUT ST
Dawson, MN 56232
(320) 769-4323
✔ PECOSSame address
Nurse Practitioner
NPI 1336857655
1282 WALNUT ST
Dawson, MN 56232
(320) 769-4323
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639103096
1282 WALNUT ST
Dawson, MN 56232
(320) 769-4323
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831807874
1282 WALNUT ST
Dawson, MN 56232
(320) 769-4323
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1295761641
1282 WALNUT ST
Dawson, MN 56232
(320) 312-2118
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336185776
1282 WALNUT ST
Dawson, MN 56232
(320) 769-4323
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851800510
1282 WALNUT ST
Dawson, MN 56232
(320) 769-4323
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1750389144
1282 WALNUT ST
Dawson, MN 56232
(320) 312-2118
✔ PECOSSame address
Family Practice
NPI 1861554073
1282 WALNUT ST
Dawson, MN 56232
(320) 769-4323
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124795596
1294 LOCUST ST
Dawson, MN 56232
(320) 769-4323
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942759576
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS17 mi
Emergency Medicine
NPI 1093787855
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS✔ Accepts Medicare17 mi
Orthopedic Surgery
NPI 1568573541
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS17 mi
General Surgery
NPI 1255338067
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS17 mi
Nurse Practitioner
NPI 1386804532
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS17 mi
General Surgery
NPI 1598152829
824 N 11TH ST
Montevideo, MN 56265
(320) 269-8877
✔ PECOS17 mi
Nurse Practitioner
NPI 1629024823
30 S BEHL ST
Appleton, MN 56208
(320) 289-1580
✔ PECOS✔ Accepts Medicare19 mi
Otolaryngology
NPI 1396963922
1801 19TH AVE SW
Willmar, MN 56201
(320) 231-3277
✔ PECOS50 mi
See all 32 clinicians

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 4

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 24D0695740

Johnson Memorial Health Services Hospital Nursing · Dawson, MN
Active · expires Feb 18, 2027
CLIA Number24D0695740
Laboratory TypeHospital
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorSteve Vanderwerf
Laboratory Phone(320) 769-4323
Laboratory LocationJohnson Memorial Health Services Hospital Nursing1282 Walnut St, Dawson, MN 56232
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 24D0668316

Johnson Memorial Health Services · Dawson, MN
Active · expires Jan 10, 2027
CLIA Number24D0668316
Laboratory TypeHospital
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorSteven Vanderwerf
Laboratory Phone(320) 312-2117
Laboratory LocationJohnson Memorial Health Services1282 Walnut Street, Dawson, MN 56232
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 24D0698564

Johnson Memorial Care Center · Dawson, MN
Active · expires Aug 31, 2028
CLIA Number24D0698564
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorErik Shelstad
Laboratory Phone(320) 769-4323
Laboratory LocationJohnson Memorial Care Center1282 Walnut St, Dawson, MN 56232
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D1078057

Johnson Memorial Ambulance Services · Dawson, MN
Active · expires Dec 27, 2027
CLIA Number24D1078057
Laboratory TypeAmbulance
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorRalph L. Gerbig
Laboratory Phone(320) 769-4323
Laboratory LocationJohnson Memorial Ambulance Services1282 Walnut Street, Dawson, MN 56232
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Johnson Memorial Health Services's NPI number?

The NPI number for Johnson Memorial Health Services is 1093745051. It was assigned to this organization in the NPPES registry on July 4, 2006. The provider is doing business as Johnson Memorial Hospital.

Where is Johnson Memorial Health Services located?

Johnson Memorial Health Services is located at 1282 Walnut St, Dawson, MN 56232. The listed phone number is (320) 769-4323.

What is Johnson Memorial Health Services's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Johnson Memorial Health Services enrolled in Medicare?

Yes. Johnson Memorial Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Johnson Memorial Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 12 Medicare specialties reassign their Medicare billing to Johnson Memorial Health Services. 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 (14), Family Practice (4) and General Surgery (3). Of these, 11 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Johnson Memorial Health Services hold CLIA laboratory certificates?

Yes. 4 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 Johnson Memorial Health Services accept?

Health plans from Sanford Health Plan list Johnson Memorial Health Services 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 Johnson Memorial Health Services was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.