SANFORD BEMIDJI
NPI 1285708438
Nurse Anesthetist, Certified Registered in Bemidji, MN
About Sanford Bemidji NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANFORD BEMIDJI (NPI 1285708438) is a healthcare organization registered as a nurse anesthetist, certified registered in Bemidji, Minnesota and active in the NPI registry since November 2006. The organization lists Jon F. Bergquist, Business Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
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)
Sanford Bemidji is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 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
603Medicare enrollment records show 603 clinicians reassign Medicare billing to Sanford Bemidji, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 219 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 54
Nearest to this location (20)
See all 603Source: 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 Sanford Health Of Northern Minnesota's NPI number?
The NPI number for Sanford Health Of Northern Minnesota is 1285708438. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is doing business as Sanford Bemidji.
Where is Sanford Health Of Northern Minnesota located?
Sanford Health Of Northern Minnesota is located at 1300 Anne St NW, Bemidji, MN 56601. The listed phone number is (218) 751-5430.
What is Sanford Health Of Northern Minnesota's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Sanford Health Of Northern Minnesota enrolled in Medicare?
Yes. Sanford Health Of Northern Minnesota is registered in the Medicare PECOS enrollment system.
When is Sanford Health Of Northern Minnesota'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 November 30, 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 Sanford Health Of Northern Minnesota?
According to the CMS Revalidation Reassignment List (October 2026 release), 603 clinicians in 54 Medicare specialties reassign their Medicare billing to Sanford Health Of Northern Minnesota. 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 (83), Certified Registered Nurse Anesthetist (CRNA) (51) and Emergency Medicine (46). Of these, 13 practice at this address and 219 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sanford Health Of Northern Minnesota was last updated on June 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Sanford Bemidji · NPI 1285708438
Nurse Anesthetist, Certified Registered organization in Bemidji, Minnesota. Organization record, active in the CMS NPPES registry since November 20, 2006.
## Identity
- **NPI:** 1285708438 (Entity type: Organization)
- **Enumerated:** November 20, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Legal business name:** Sanford Health Of Northern Minnesota
- **Organization subpart:** No
- **Authorized official:** Jon Bergquist, BUSINESS OFFICE MANAGER
## Practice location
- **Address:** 1300 ANNE ST NW, Bemidji, MN 56601-5103
- **Phone:** (218) 751-5430 · **Fax:** (218) 333-5566
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Minnesota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 603 clinicians in 54 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (83), Certified Registered Nurse Anesthetist (CRNA) (51), Emergency Medicine (46); 13 practice at this address and 219 within 10 miles; [full list](https://npiprofile.com/npi/1285708438/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2011
- **Other identifiers:** Medicare UPIN C04961 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1285708438) · Data from the CMS NPPES public registry.