STARBUCK CLINIC
NPI 1417105552
Clinic/Center in Starbuck, MN
About Starbuck Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STARBUCK CLINIC (NPI 1417105552) is a healthcare organization registered as a clinic/center in Starbuck, Minnesota and active in the NPI registry since September 2008. The organization holds a CLIA Certificate of Compliance certificate valid through May 30, 2027 and lists Kerrie Mcevilly, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Starbuck Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
143Medicare enrollment records show 143 clinicians reassign Medicare billing to Starbuck Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 24
Nearest to this location (20)
See all 143Source: 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 Compliance 24D1038677
Stevens Community Medical Center-Starbuck Clinic · Starbuck, 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 Stevens Community Medical Center Inc.'s NPI number?
The NPI number for Stevens Community Medical Center Inc. is 1417105552. It was assigned to this organization in the NPPES registry on September 3, 2008. The provider is doing business as Starbuck Clinic.
Where is Stevens Community Medical Center Inc. located?
Stevens Community Medical Center Inc. is located at 501 Poler St, Starbuck, MN 56381. The listed phone number is (320) 239-3939.
What is Stevens Community Medical Center Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Stevens Community Medical Center Inc. enrolled in Medicare?
Yes. Stevens Community Medical Center Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stevens Community Medical Center Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 143 clinicians in 24 Medicare specialties reassign their Medicare billing to Stevens Community 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 (50), Nurse Practitioner (24) and Family Practice (16). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Stevens Community Medical Center Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 24D1038677) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Stevens Community Medical Center Inc. accept?
Health plans from Sanford Health Plan list Stevens Community 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 Stevens Community Medical Center Inc. was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Starbuck Clinic · NPI 1417105552
Clinic/Center organization in Starbuck, Minnesota. Organization record, active in the CMS NPPES registry since September 3, 2008.
## Identity
- **NPI:** 1417105552 (Entity type: Organization)
- **Enumerated:** September 3, 2008
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Stevens Community Medical Center Inc.
- **Organization subpart:** Yes (part of Stevens Community Medical Center Inc)
- **Authorized official:** Kerrie Mcevilly, PRESIDENT/CEO
## Practice location
- **Address:** 501 POLER ST, Starbuck, MN 56381-2456
- **Phone:** (320) 239-3939 · **Fax:** (320) 239-2802
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 143 clinicians in 24 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (50), Nurse Practitioner (24), Family Practice (16); 1 practice at this address and 2 within 10 miles; [full list](https://npiprofile.com/npi/1417105552/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 4, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417105552) · Data from the CMS NPPES public registry.