MAYO CLINIC HEALTH SYSTEM-LAKE CITY
NPI 1164463659
Clinic/Center - Multi-Specialty in Lake City, MN
About Mayo Clinic Health System-lake City NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYO CLINIC HEALTH SYSTEM-LAKE CITY (NPI 1164463659) is a healthcare organization registered as a multi-specialty in Lake City, Minnesota and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Morris Miller, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 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)
Mayo Clinic Health System-lake City is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
830Medicare enrollment records show 830 clinicians reassign Medicare billing to Mayo Clinic Health System-Lake City, which bills Medicare for the services they deliver. Of these, 9 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 39
Nearest to this location (20)
See all 830Source: 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 24D0398275
Mayo Clinic Health System Lake City Laboratory · Lake City, 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 Mayo Clinic Health System-Lake City's NPI number?
The NPI number for Mayo Clinic Health System-Lake City is 1164463659. It was assigned to this organization in the NPPES registry on June 8, 2006.
Where is Mayo Clinic Health System-Lake City located?
Mayo Clinic Health System-Lake City is located at 500 W Grant St, Lake City, MN 55041. The listed phone number is (651) 345-3321.
What is Mayo Clinic Health System-Lake City's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Mayo Clinic Health System-Lake City enrolled in Medicare?
Yes. Mayo Clinic Health System-Lake City is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mayo Clinic Health System-Lake City?
According to the CMS Revalidation Reassignment List (October 2026 release), 830 clinicians in 39 Medicare specialties reassign their Medicare billing to Mayo Clinic Health System-Lake City. 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 Diagnostic Radiology (256), Nurse Practitioner (89) and Emergency Medicine (84). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mayo Clinic Health System-Lake City hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 24D0398275) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mayo Clinic Health System-Lake City accept?
Health plans from Anthem Blue Cross and Blue Shield, Sanford Health Plan and Security Health Plan list Mayo Clinic Health System-Lake City 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 Mayo Clinic Health System-Lake City was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mayo Clinic Health System-Lake City · NPI 1164463659
Multi-Specialty organization in Lake City, Minnesota. Organization record, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1164463659 (Entity type: Organization)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Morris Miller, CFO
## Practice location
- **Address:** 500 W GRANT ST, Lake City, MN 55041-1143
- **Phone:** (651) 345-3321
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 830 clinicians in 39 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (256), Nurse Practitioner (89), Emergency Medicine (84); 9 practice at this address; [full list](https://npiprofile.com/npi/1164463659/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164463659) · Data from the CMS NPPES public registry.