ESSENTIA HEALTH BRAINERD SPECIALTY CLINIC
NPI 1295801777
General Practice in Brainerd, MN

Active since November 28, 2006
2024 S 6TH ST, BRAINERD, MN 56401(218) 828-7100(218) 828-7194 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2021, Jan 9, 2017 (2 updates tracked since 2017).

About Essentia Health Brainerd Specialty Clinic NPPES

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

ESSENTIA HEALTH BRAINERD SPECIALTY CLINIC (NPI 1295801777) is a healthcare organization registered as a general practice in Brainerd, Minnesota and active in the NPI registry since November 2006. The organization lists Michael Larson, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1295801777
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBRAINERD MEDICAL CENTER INC
Location Address2024 S 6TH STBrainerd, MN 56401-4529
Mailing Address2024 S 6th StBrainerd, MN 56401-4529 · (218) 828-7100 · Fax (218) 828-7194
Fax(218) 828-7194
Organization SubpartNo
Authorized OfficialMichael LarsonVp Of Operations · (218) 828-7656
Enumeration DateNovember 28, 2006
Last NPPES UpdateSeptember 14, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
✔ NPI 1295801777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MN · 8619454
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2024 S 6TH ST, Brainerd, MN 56401

Other Names 1

Doing Business AsEssentia Health Brainerd Specialty Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Brainerd Specialty Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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.

StateEnrollment IDDue date
StateMinnesotaEnrollment IDO20070105000140Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

127

Medicare enrollment records show 127 clinicians reassign Medicare billing to Essentia Health Brainerd Specialty Clinic, which bills Medicare for the services they deliver. Of these, 34 practice at this address and 64 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Diagnostic Radiology33
Nurse Practitioner25
Family Practice14
Urology10
Internal Medicine8
Neurology5
Obstetrics/Gynecology5
Certified Registered Nurse Anesthetist (CRNA)4
16 other specialties23

Nearest to this location (20)

See all 127
Family Practice
NPI 1467655308
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7100
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1417393687
2024 S 6TH ST
Brainerd, MN 56401
(218) 855-5213
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1417931593
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104126994
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7100
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1285612325
2024 S 6TH ST.
Brainerd, MN 56401
(218) 828-7100
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1891957494
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7100
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1003136839
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7100
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1851748834
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7101
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1609846476
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7101
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1801870886
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013558881
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7101
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1164684320
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073591210
2024 S 6TH ST
Brainerd, MN 56401
(218) 825-7100
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1598050783
2024 S 6TH ST
Brainerd, MN 56401
(218) 829-2861
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1790761187
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7100
✔ PECOSSame address
Allergy/Immunology
NPI 1790776623
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7100
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1326195686
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7100
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1699759654
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7100
✔ PECOSSame address
Diagnostic Radiology
NPI 1538229422
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7100
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1649255191
2024 S 6TH ST
Brainerd, MN 56401
(218) 828-7100
✔ PECOSSame address
See all 127 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 Brainerd Medical Center Inc's NPI number?

The NPI number for Brainerd Medical Center Inc is 1295801777. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as Essentia Health Brainerd Specialty Clinic.

Where is Brainerd Medical Center Inc located?

Brainerd Medical Center Inc is located at 2024 S 6th St, Brainerd, MN 56401. The listed phone number is (218) 828-7100.

What is Brainerd Medical Center Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Brainerd Medical Center Inc enrolled in Medicare?

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

When is Brainerd Medical Center Inc'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 January 31, 2027. 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 Brainerd Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 127 clinicians in 24 Medicare specialties reassign their Medicare billing to Brainerd Medical Center Inc. 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 (33), Nurse Practitioner (25) and Family Practice (14). Of these, 34 practice at this address and 64 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Brainerd Medical Center Inc accept?

Health plans from Sanford Health Plan list Brainerd Medical Center Inc 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 Brainerd Medical Center Inc was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.