ESSENTIA HEALTH-ST JOSEPH'S BAXTER CLINIC
NPI 1174809792
General Practice in Baxter, MN
About Essentia Health-st Joseph's Baxter Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESSENTIA HEALTH-ST JOSEPH'S BAXTER CLINIC (NPI 1174809792) is a healthcare organization registered as a general practice in Baxter, Minnesota and active in the NPI registry since October 2011. The organization holds an CLIA Accreditation certificate valid through September 17, 2028 and lists Kevin Boren, Vp Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted 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)
Essentia Health-st Joseph's Baxter Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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.
Clinicians Billing Medicare Through This Organization
340Medicare enrollment records show 340 clinicians reassign Medicare billing to Essentia Health-St Joseph's Baxter Clinic, which bills Medicare for the services they deliver. Of these, 23 practice at this address and 130 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 37
Nearest to this location (20)
See all 340Source: 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 24D2034750
Essentia Health St Josephs - Baxter Clinic · Baxter, 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 St Joseph's Medical Center's NPI number?
The NPI number for St Joseph's Medical Center is 1174809792. It was assigned to this organization in the NPPES registry on October 27, 2011. The provider is doing business as Essentia Health-St Joseph's Baxter Clinic.
Where is St Joseph's Medical Center located?
St Joseph's Medical Center is located at 13060 Isle Drive, Baxter, MN 56425. The listed phone number is (218) 828-2880.
What is St Joseph's Medical Center's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is St Joseph's Medical Center enrolled in Medicare?
Yes. St Joseph's Medical Center is registered in the Medicare PECOS enrollment system.
When is St Joseph's Medical Center'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 December 31, 2026. 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 St Joseph's Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 340 clinicians in 37 Medicare specialties reassign their Medicare billing to St Joseph's Medical Center. 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 (74), Emergency Medicine (29) and Certified Registered Nurse Anesthetist (CRNA) (27). Of these, 23 practice at this address and 130 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St Joseph's Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 24D2034750) is associated with this NPI, valid through September 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does St Joseph's Medical Center accept?
Health plans from Sanford Health Plan list St Joseph's Medical Center 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 St Joseph's Medical Center was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Essentia Health-St Joseph's Baxter Clinic · NPI 1174809792
General Practice organization in Baxter, Minnesota. Organization record, active in the CMS NPPES registry since October 27, 2011.
## Identity
- **NPI:** 1174809792 (Entity type: Organization)
- **Enumerated:** October 27, 2011
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Legal business name:** St Joseph's Medical Center
- **Organization subpart:** Yes (part of Essentia Health)
- **Authorized official:** Kevin Boren, VP OF FINANCE
## Practice location
- **Address:** 13060 ISLE DRIVE, Baxter, MN 56425
- **Phone:** (218) 828-2880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Minnesota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 340 clinicians in 37 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (74), Emergency Medicine (29), Certified Registered Nurse Anesthetist (CRNA) (27); 23 practice at this address and 130 within 10 miles; [full list](https://npiprofile.com/npi/1174809792/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174809792) · Data from the CMS NPPES public registry.