ESSENTIA HEALTH MOOSE LAKE
NPI 1154959880
General Acute Care Hospital - Critical Access in Moose Lake, MN
About Essentia Health Moose Lake NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESSENTIA HEALTH MOOSE LAKE (NPI 1154959880) is a healthcare organization registered as a critical access in Moose Lake, Minnesota and active in the NPI registry since March 2020. The organization holds an CLIA Accreditation certificate valid through November 19, 2026 and lists Kevin Boren, Vp Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Essentia Health Moose Lake is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
251Medicare enrollment records show 251 clinicians reassign Medicare billing to Essentia Health Moose Lake, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 27
Nearest to this location (20)
See all 251Proctor, MN 55810
Duluth, MN 55805
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
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 Accreditation 24D0651464
Essentia Health Moose Lake · Moose Lake, MNFrequently 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 Essentia Health Moose Lake's NPI number?
The NPI number for Essentia Health Moose Lake is 1154959880. It was assigned to this organization in the NPPES registry on March 30, 2020.
Where is Essentia Health Moose Lake located?
Essentia Health Moose Lake is located at 4572 County Road 61, Moose Lake, MN 55767. The listed phone number is (218) 485-4481.
What is Essentia Health Moose Lake's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.
Is Essentia Health Moose Lake enrolled in Medicare?
Yes. Essentia Health Moose Lake is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Essentia Health Moose Lake?
According to the CMS Revalidation Reassignment List (October 2026 release), 251 clinicians in 27 Medicare specialties reassign their Medicare billing to Essentia Health Moose Lake. 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 Emergency Medicine (75), Nurse Practitioner (45) and Family Practice (32). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Essentia Health Moose Lake hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 24D0651464) is associated with this NPI, valid through November 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Essentia Health Moose Lake accept?
Health plans from HealthPartners, Sanford Health Plan and Security Health Plan list Essentia Health Moose Lake 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 Essentia Health Moose Lake was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Essentia Health Moose Lake · NPI 1154959880
Critical Access organization in Moose Lake, Minnesota. Organization record, active in the CMS NPPES registry since March 30, 2020.
## Identity
- **NPI:** 1154959880 (Entity type: Organization)
- **Enumerated:** March 30, 2020
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Also known as:** Essentia Health Moose Lake (Doing Business As)
- **Organization subpart:** Yes (part of Essentia Health)
- **Authorized official:** Kevin Boren, VP OF FINANCE
## Practice location
- **Address:** 4572 COUNTY ROAD 61, Moose Lake, MN 55767-9401
- **Phone:** (218) 485-4481
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 251 clinicians in 27 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (75), Nurse Practitioner (45), Family Practice (32); 5 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1154959880/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 27, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154959880) · Data from the CMS NPPES public registry.