NORTH COUNTRY REGIONAL HOSPITAL
NPI 1417006255
Internal Medicine in Bemidji, MN
About North Country Regional Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH COUNTRY REGIONAL HOSPITAL (NPI 1417006255) is a healthcare organization registered as an internal medicine in Bemidji, Minnesota and active in the NPI registry since January 2007. The organization lists Jon F. Bergquist, Business Office Director, 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)
North Country Regional Hospital 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 North Country Regional Hospital, which bills Medicare for the services they deliver. Of these, 221 practice 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 North Country Health Services's NPI number?
The NPI number for North Country Health Services is 1417006255. It was assigned to this organization in the NPPES registry on January 10, 2007. The provider is doing business as North Country Regional Hospital.
Where is North Country Health Services located?
North Country Health Services is located at 1300 Anne St NW, Bemidji, MN 56601. The listed phone number is (218) 751-5430.
What is North Country Health Services's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is North Country Health Services enrolled in Medicare?
Yes. North Country Health Services is registered in the Medicare PECOS enrollment system.
When is North Country Health Services'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 North Country Health Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 603 clinicians in 54 Medicare specialties reassign their Medicare billing to North Country Health Services. 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, 221 practice 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 North Country Health Services was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# North Country Regional Hospital · NPI 1417006255
Internal Medicine organization in Bemidji, Minnesota. Organization record, active in the CMS NPPES registry since January 10, 2007.
## Identity
- **NPI:** 1417006255 (Entity type: Organization)
- **Enumerated:** January 10, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** North Country Health Services
- **Organization subpart:** No
- **Authorized official:** Jon Bergquist, BUSINESS OFFICE DIRECTOR
## 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); 221 practice within 10 miles; [full list](https://npiprofile.com/npi/1417006255/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2007
- **Other identifiers:** Medicare ID-Type Unspecified C04108 (MN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1417006255) · Data from the CMS NPPES public registry.