SANFORD CLINIC LAKE NORDEN
NPI 1417927559
Clinic/Center - Rural Health in Lake Norden, SD
About Sanford Clinic Lake Norden NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANFORD CLINIC LAKE NORDEN (NPI 1417927559) is a healthcare organization registered as a rural health in Lake Norden, South Dakota and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Tony Lee Morrison, Vp, Revenue Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 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)
Sanford Clinic Lake Norden is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,095Medicare enrollment records show 1,095 clinicians reassign Medicare billing to Sanford Clinic Lake Norden, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 66
Nearest to this location (20)
See all 1,095Source: 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 43D0658899
Sanford Clinic Lake Norden · Lake Norden, SDFrequently 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 Sanford Medical Center's NPI number?
The NPI number for Sanford Medical Center is 1417927559. It was assigned to this organization in the NPPES registry on January 23, 2006. The provider is doing business as Sanford Clinic Lake Norden.
Where is Sanford Medical Center located?
Sanford Medical Center is located at 512 Main Ave, Lake Norden, SD 57248. The listed phone number is (605) 873-2222.
What is Sanford Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Sanford Medical Center enrolled in Medicare?
Yes. Sanford Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sanford Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,095 clinicians in 66 Medicare specialties reassign their Medicare billing to Sanford Medical Center. 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 (311), Certified Registered Nurse Anesthetist (CRNA) (116) and Pediatric Medicine (89). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sanford Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 43D0658899) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sanford Medical Center accept?
Health plans from Sanford Health Plan and Security Health Plan list Sanford Medical Center 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 Sanford Medical Center was last updated on December 19, 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.
# Sanford Clinic Lake Norden · NPI 1417927559
Rural Health organization in Lake Norden, South Dakota. Organization record, active in the CMS NPPES registry since January 23, 2006.
## Identity
- **NPI:** 1417927559 (Entity type: Organization)
- **Enumerated:** January 23, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Sanford Medical Center
- **Organization subpart:** No
- **Authorized official:** Tony Morrison, VP, REVENUE CYCLE
## Practice location
- **Address:** 512 MAIN AVE, Lake Norden, SD 57248-0079
- **Phone:** (605) 873-2222 · **Fax:** (605) 873-2182
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,095 clinicians in 66 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (311), Certified Registered Nurse Anesthetist (CRNA) (116), Pediatric Medicine (89); 1 practice at this address; [full list](https://npiprofile.com/npi/1417927559/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2022
- **Other identifiers:** Medicaid 5300462 (SD)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417927559) · Data from the CMS NPPES public registry.