GATEWAY FAMILY HEALTH CLINIC, LTD.
NPI 1356344451
Family Medicine in Moose Lake, MN

Active since May 23, 2005CLIA 24D0403786 · Accreditation
4570 CTY HWY 61, MOOSE LAKE, MN 55767(218) 485-4491(218) 485-4724 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gateway Family Health Clinic, Ltd. NPPES

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

GATEWAY FAMILY HEALTH CLINIC, LTD. (NPI 1356344451) is a healthcare organization registered as a family medicine in Moose Lake, Minnesota and active in the NPI registry since May 2005. The organization holds an CLIA Accreditation certificate valid through December 9, 2026 and lists Eric Nielsen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1356344451
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGATEWAY FAMILY HEALTH CLINIC, LTD.
Location Address4570 CTY HWY 61Moose Lake, MN 55767-9401
Mailing Address4570 Cty Hwy 61Moose Lake, MN 55767-9401 · (218) 485-4491 · Fax (218) 485-4724
Fax(218) 485-4724
Organization SubpartNo
Authorized OfficialEric NielsenAdministrator · (218) 485-4491
Enumeration DateMay 23, 2005
Last NPPES UpdateMay 13, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1356344451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedChiropractorTaxonomy 111N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
4570 CTY HWY 61, Moose Lake, MN 55767

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gateway Family Health Clinic, Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Gateway Family Health Clinic, Ltd., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Family Practice10
Internal Medicine2
Nurse Practitioner2
Certified Registered Nurse Anesthetist (CRNA)1
Chiropractic1
Marriage and Family Therapist1
Orthopedic Surgery1

Clinicians, nearest first (18)

Family Practice
NPI 1205324209
4570 CTY. HWY. 61
Moose Lake, MN 55767
(218) 485-4491
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1386647980
4570 CTY. HWY. 61
Moose Lake, MN 55767
(218) 485-4491
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1508693961
4570 COUNTY ROAD 61
Moose Lake, MN 55767
(218) 485-4491
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1265467658
4570 CTY. HWY. 61
Moose Lake, MN 55767
(218) 485-4491
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1902809841
4570 CTY. HWY. 61
Moose Lake, MN 55767
(218) 485-4491
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1760485387
4570 CTY. HWY. 61
Moose Lake, MN 55767
(218) 485-4491
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1154647071
4570 CTY. HWY. 61
Moose Lake, MN 55767
(218) 485-4491
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1083652275
4570 CTY. HWY. 61
Moose Lake, MN 55767
(218) 485-4491
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1396770772
4570 COUNTY HIGHWAY 61
Moose Lake, MN 55767
(218) 485-4491
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1194728733
4570 CTY. HWY. 61
Moose Lake, MN 55767
(218) 485-4491
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1306849914
4570 CTY. HWY. 61
Moose Lake, MN 55767
(218) 485-4491
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1073516647
707 LUNDORFF DR STE 1
Sandstone, MN 55072
(320) 245-2250
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1780687350
204 LUNDORFF DR
Sandstone, MN 55072
(320) 245-2250
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1295957116
204 LUNDORFF DR
Sandstone, MN 55072
(320) 245-2250
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1487668034
204 LUNDORFF DR
Sandstone, MN 55072
(320) 245-2250
✔ PECOS✔ Accepts Medicare23 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1245758234
4572 COUNTY ROAD 61
Moose Lake, MN 55767
(218) 485-4481
✔ PECOS✔ Accepts Medicare29 mi
Orthopedic Surgery
NPI 1932119260
750 E 34TH ST
Hibbing, MN 55746
(218) 262-4881
✔ PECOS✔ Accepts Medicare67 mi
Chiropractic
NPI 1811178759
618 55TH ST
Kenosha, WI 53140
(262) 657-8434
362 mi

Source: 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 24D0403786

Gateway Family Health Clinic, Ltd · Moose Lake, MN
Active · expires Dec 9, 2026
CLIA Number24D0403786
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorChristopher Thiessen
Laboratory Phone(218) 485-4491
Laboratory LocationGateway Family Health Clinic, Ltd4570 County Highway 61, Moose Lake, MN 55767
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Gateway Family Health Clinic, Ltd.'s NPI number?

The NPI number for Gateway Family Health Clinic, Ltd. is 1356344451. It was assigned to this organization in the NPPES registry on May 23, 2005.

Where is Gateway Family Health Clinic, Ltd. located?

Gateway Family Health Clinic, Ltd. is located at 4570 Cty Hwy 61, Moose Lake, MN 55767. The listed phone number is (218) 485-4491.

What is Gateway Family Health Clinic, Ltd.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gateway Family Health Clinic, Ltd. enrolled in Medicare?

Yes. Gateway Family Health Clinic, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gateway Family Health Clinic, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 7 Medicare specialties reassign their Medicare billing to Gateway Family Health Clinic, Ltd.. 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 Family Practice (10), Internal Medicine (2) and Nurse Practitioner (2). Of these, 3 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gateway Family Health Clinic, Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D0403786) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gateway Family Health Clinic, Ltd. accept?

Health plans from Aspirus Health Plan and HealthPartners list Gateway Family Health Clinic, Ltd. 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 Gateway Family Health Clinic, Ltd. was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.