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ESSENTIA HEALTH DULUTH-AMBERWING CLINIC
NPI 1235488438
Clinic/Center - Adolescent and Children Mental Health in Duluth, MN

Active since September 04, 2012
615 PECAN AVE, DULUTH, MN 55811(218) 355-2100(218) 355-2105 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2018, Apr 20, 2018 (2 updates tracked since 2018).

About Essentia Health Duluth-amberwing Clinic NPPES

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

ESSENTIA HEALTH DULUTH-AMBERWING CLINIC (NPI 1235488438) is a healthcare organization registered as an adolescent and children mental health in Duluth, Minnesota and active in the NPI registry since September 2012. The organization lists Kevin Boren, Cfo, as its authorized official.

NPPES Registry Identity

NPI1235488438
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameSMDC MEDICAL CENTER
Location Address615 PECAN AVEDuluth, MN 55811
Mailing Address615 Pecan AveDuluth, MN 55811 · (218) 355-2100 · Fax (218) 355-2105
Phone(218) 355-2100
Fax(218) 355-2105
Organization SubpartYesParent: Essentia Health
Authorized OfficialKevin BorenCfo · (218) 786-1009
Enumeration DateSeptember 4, 2012
Last NPPES UpdateFebruary 27, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2024
✔ NPI 1235488438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
615 PECAN AVE, Duluth, MN 55811
Open in Google Maps ↗

Other Names 1

Doing Business AsEssentia Health Duluth-amberwing Clinic

Other Identifiers 1

Medicaid1033153895MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and more.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 Duluth-amberwing Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Essentia Health Duluth-Amberwing Clinic, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Clinical Social Worker14
Clinical Psychologist7
Psychiatry6
Nurse Practitioner2
Emergency Medicine1
Psychologist Billing Independently1

Nearest to this location (20)

See all 31
Maren Barootian, MSW, LICSW
Clinical Social Worker
NPI 1801030366
615 PECAN AVE
Duluth, MN 55811
(218) 355-2113
✔ PECOSSame address
Amanda Baumgartner, LICSW
Clinical Social Worker
NPI 1326896424
615 PECAN AVE
Duluth, MN 55811
(218) 355-2100
✔ PECOSSame address
Joshua Buck, LGSW
Clinical Social Worker
NPI 1033982061
615 PECAN AVE
Duluth, MN 55811
(218) 355-2100
✔ PECOSSame address
Alyssa Dye, PMHNP
Nurse Practitioner
NPI 1780201657
615 PECAN AVE
Duluth, MN 55811
(218) 355-2100
✔ PECOSSame address
Mary Geidner, LICSW
Clinical Social Worker
NPI 1780882944
615 PECAN AVE
Duluth, MN 55811
(218) 355-2100
✔ PECOS✔ Accepts MedicareSame address
Sigurd Haller, LICSW
Clinical Social Worker
NPI 1629494174
615 PECAN AVE
Duluth, MN 55811
(218) 355-2100
✔ PECOSSame address
Eileen Huggins, LICSW
Clinical Social Worker
NPI 1366079816
615 PECAN AVE
Duluth, MN 55811
(218) 355-2100
✔ PECOS✔ Accepts MedicareSame address
Barbara Boehm, PSY.D, LP
Clinical Psychologist
NPI 1902052103
400 EAST THIRD STREET
Duluth, MN 55805
(218) 786-8364
✔ PECOS✔ Accepts Medicare1.2 mi
Julianne Davis, PSYD
Clinical Psychologist
NPI 1659322915
400 E 3RD ST ESSENTIA HEALTH DULUTH CLINIC
Duluth, MN 55805
(218) 786-8364
✔ PECOS✔ Accepts Medicare1.2 mi
Laura Hoffarth, MSW LICSW
Clinical Social Worker
NPI 1427206887
400 E 3RD ST
Duluth, MN 55805
(218) 786-1116
✔ PECOS✔ Accepts Medicare1.2 mi
Steven Sutherland, MD
Psychiatry
NPI 1508981333
400 EAST 3RD STREET ESESNTIA HEALTH-DULUTH CLINIC
Duluth, MN 55805
(218) 786-1186
✔ PECOS1.2 mi
Michaela Merrill Mayfield, PHD
Clinical Psychologist
NPI 1750573044
400 E 3RD ST ESSENTIA HEALTH DULUTH CLINIC
Duluth, MN 55805
(218) 786-1186
✔ PECOS✔ Accepts Medicare1.2 mi
Elena Metcalf, M.D.
Psychiatry
NPI 1508093337
400 E 3RD ST ESSENTIA HEALTH DULUTH CLINIC
Duluth, MN 55805
(218) 786-8364
✔ PECOS✔ Accepts Medicare1.2 mi
Peder Svingen
Psychiatry
NPI 1629001656
400 E 3RD ST
Duluth, MN 55805
(218) 786-8364
✔ PECOS1.2 mi
Lisa Vanbaalen
Clinical Social Worker
NPI 1679636799
400 E 3RD ST
Duluth, MN 55805
(218) 786-5944
✔ PECOS✔ Accepts Medicare1.2 mi
Elisabeth Mchale, MD
Emergency Medicine
NPI 1437655651
402 E 2ND ST
Duluth, MN 55805
(218) 786-4000
✔ PECOS✔ Accepts Medicare1.3 mi
Simone Anzion, LICSW
Clinical Social Worker
NPI 1710703962
530 E 2ND ST
Duluth, MN 55805
(218) 786-1186
✔ PECOS1.3 mi
Lindsey Lee, LICSW
Clinical Social Worker
NPI 1972497188
530 E 2ND ST
Duluth, MN 55805
(218) 786-8364
✔ PECOS1.3 mi
Katharine Andrews, MD
Psychiatry
NPI 1154909125
502 E 2ND ST
Duluth, MN 55805
(507) 284-2511
✔ PECOS✔ Accepts Medicare1.3 mi
Kristen Lane, PSYD, LP
Clinical Psychologist
NPI 1497208706
502 E 2ND ST
Duluth, MN 55805
(218) 786-8364
✔ PECOS1.3 mi
See all 31 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 Smdc Medical Center's NPI number?

The NPI number for Smdc Medical Center is 1235488438. It was assigned to this organization in the NPPES registry on September 4, 2012. The provider is doing business as Essentia Health Duluth-Amberwing Clinic.

Where is Smdc Medical Center located?

Smdc Medical Center is located at 615 Pecan Ave, Duluth, MN 55811. The listed phone number is (218) 355-2100.

What is Smdc Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is Smdc Medical Center enrolled in Medicare?

Yes. Smdc Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Smdc Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 6 Medicare specialties reassign their Medicare billing to Smdc 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 Clinical Social Worker (14), Clinical Psychologist (7) and Psychiatry (6). Of these, 7 practice at this address and 29 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Smdc Medical Center accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and Security Health Plan list Smdc 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 Smdc Medical Center was last updated on February 27, 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.