SPIRIT LAKE HEALTH CENTER
NPI 1114472891
Clinic/Center - Health Service in Fort Totten, ND

Active since August 23, 2016
3883 74TH AVE NE, FORT TOTTEN, ND 58335(701) 766-1600(701) 766-1630 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2020, Feb 24, 2020, Aug 23, 2016 (3 updates tracked since 2016).

About Spirit Lake Health Center NPPES

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

SPIRIT LAKE HEALTH CENTER (NPI 1114472891) is a healthcare organization registered as a health service in Fort Totten, North Dakota and active in the NPI registry since August 2016. The organization lists Arlene Krulish, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114472891
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameSPIRIT LAKE TRIBE
Location Address3883 74TH AVE NEFort Totten, ND 58335
Mailing AddressPo Box 309Fort Totten, ND 58335-0309 · (701) 766-1600 · Fax (701) 766-1630
Fax(701) 766-1630
Organization SubpartYes
Authorized OfficialArlene KrulishCeo · (701) 766-1607
Enumeration DateAugust 23, 2016
Last NPPES UpdateApril 7, 20203 updates tracked since enumeration
NPPES CertifiedApril 7, 2020
✔ NPI 1114472891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X
Also ListedClinic/Center · Radiology, MammographyTaxonomy 261QR0206X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
3883 74TH AVE NE, Fort Totten, ND 58335

Other Names 1

Doing Business AsSpirit Lake Health Center

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)

Spirit Lake Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Spirit Lake Health Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner13
Clinical Social Worker3
Physical Therapist in Private Practice3
Chiropractic1
Family Practice1
General Practice1
Podiatry1
Registered Dietitian or Nutrition Professional1

Nearest to this location (20)

See all 24
Nurse Practitioner
NPI 1407686231
3883 74TH AVENUE NE
Fort Totten, ND 58335
(701) 766-1600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376226290
3883 74TH AVE NE
Fort Totten, ND 58335
(701) 766-1600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912632704
3883 74TH AVE NE
Fort Totten, ND 58335
(701) 766-1600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255448668
416 2ND AVE N
Fort Totten, ND 58335
(701) 766-1251
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1205705381
3883 74TH AVE NE
Fort Totten, ND 58335
(701) 766-1600
✔ PECOS✔ Accepts Medicare0.5 mi
Physical Therapist in Private Practice
NPI 1972077733
210 HIGHWAY 2 W STE 7
Devils Lake, ND 58301
(701) 662-8448
✔ Accepts Medicare11 mi
Clinical Social Worker
NPI 1912399262
200 HIGHWAY 2 W
Devils Lake, ND 58301
(701) 665-2200
✔ PECOS✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1548715550
210 HIGHWAY 2 W STE 7
Devils Lake, ND 58301
(701) 662-8448
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1780830208
210 HIGHWAY 2 W STE 7
Devils Lake, ND 58301
(701) 662-8448
✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1164945994
210 HIGHWAY 2 W STE 8
Devils Lake, ND 58301
(701) 662-2039
✔ PECOS✔ Accepts Medicare11 mi
Clinical Social Worker
NPI 1326144791
501 3RD ST NE STE 1
Devils Lake, ND 58301
(701) 662-1911
✔ PECOS✔ Accepts Medicare11 mi
Clinical Social Worker
NPI 1700542883
111 7TH ST NE
Devils Lake, ND 58301
(701) 330-6576
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1053825224
1001 7TH ST. NE- ALTRU CLINIC DEVILS LAKE
Devils Lake, ND 58301
(701) 662-2157
✔ PECOS✔ Accepts Medicare12 mi
Chiropractic
NPI 1194062927
207 1ST AVE S
New Rockford, ND 58356
(701) 947-2121
✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1780395285
506 4TH ST
Maddock, ND 58348
(701) 799-7746
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1295350114
318 HIGHWAY 281 NE STE 2
Carrington, ND 58421
(701) 650-7280
✔ PECOS✔ Accepts Medicare36 mi
Family Practice
NPI 1518044577
800 S MAIN AVE
Rugby, ND 58368
(701) 776-5261
✔ PECOS✔ Accepts Medicare54 mi
General Practice
NPI 1639758980
128 FOUSSARD AVE NW
St John, ND 58369
(701) 477-3111
✔ PECOS✔ Accepts Medicare75 mi
Nurse Practitioner
NPI 1831196732
516 MAIN ST
Bottineau, ND 58318
(701) 534-0109
✔ PECOS✔ Accepts Medicare89 mi
Registered Dietitian or Nutrition Professional
NPI 1497974794
1200 S COLUMBIA RD
Grand Forks, ND 58201
(701) 780-5000
89 mi
See all 24 clinicians

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 Spirit Lake Tribe's NPI number?

The NPI number for Spirit Lake Tribe is 1114472891. It was assigned to this organization in the NPPES registry on August 23, 2016. The provider is doing business as Spirit Lake Health Center.

Where is Spirit Lake Tribe located?

Spirit Lake Tribe is located at 3883 74th Ave NE, Fort Totten, ND 58335. The listed phone number is (701) 766-1600.

What is Spirit Lake Tribe's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Spirit Lake Tribe enrolled in Medicare?

Yes. Spirit Lake Tribe is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spirit Lake Tribe?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 8 Medicare specialties reassign their Medicare billing to Spirit Lake Tribe. 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 (13), Clinical Social Worker (3) and Physical Therapist in Private Practice (3). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spirit Lake Tribe accept?

Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and UnitedHealthcare list Spirit Lake Tribe 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 Spirit Lake Tribe was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.