AVERA MEDICAL GROUP CARLSON
NPI 1407330301
Clinic/Center - Multi-Specialty in Marshall, MN
About Avera Medical Group Carlson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA MEDICAL GROUP CARLSON (NPI 1407330301) is a healthcare organization registered as a multi-specialty in Marshall, Minnesota and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Debbie Streier, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avera Medical Group Carlson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
260Medicare enrollment records show 260 clinicians reassign Medicare billing to Avera Medical Group Carlson, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 68 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 36
Nearest to this location (20)
See all 260Marshall, MN 56258
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 Waiver 24D2159579
Avera Medical Group Carlson (coag Clinic) · Marshall, 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 Avera Marshall's NPI number?
The NPI number for Avera Marshall is 1407330301. It was assigned to this organization in the NPPES registry on September 18, 2018. The provider is doing business as Avera Medical Group Carlson.
Where is Avera Marshall located?
Avera Marshall is located at 1521 Carlson St, Marshall, MN 56258. The listed phone number is (507) 532-9631.
What is Avera Marshall's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Avera Marshall enrolled in Medicare?
Yes. Avera Marshall is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avera Marshall?
According to the CMS Revalidation Reassignment List (October 2026 release), 260 clinicians in 36 Medicare specialties reassign their Medicare billing to Avera Marshall. 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 (42), Certified Registered Nurse Anesthetist (CRNA) (30) and Family Practice (25). Of these, 3 practice at this address and 68 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Avera Marshall hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2159579) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Avera Marshall was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Avera Medical Group Carlson · NPI 1407330301
Multi-Specialty organization in Marshall, Minnesota. Organization record, active in the CMS NPPES registry since September 18, 2018.
## Identity
- **NPI:** 1407330301 (Entity type: Organization)
- **Enumerated:** September 18, 2018
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Avera Marshall
- **Organization subpart:** No
- **Authorized official:** Debbie Streier, CEO
## Practice location
- **Address:** 1521 CARLSON ST, Marshall, MN 56258-2626
- **Phone:** (507) 532-9631
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 260 clinicians in 36 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (42), Certified Registered Nurse Anesthetist (CRNA) (30), Family Practice (25); 3 practice at this address and 68 within 10 miles; [full list](https://npiprofile.com/npi/1407330301/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407330301) · Data from the CMS NPPES public registry.