SANFORD BAGLEY CLEARBROOK CLINIC
NPI 1457624272
Clinic/Center - Rural Health in Clearbrook, MN
About Sanford Bagley Clearbrook Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANFORD BAGLEY CLEARBROOK CLINIC (NPI 1457624272) is a healthcare organization registered as a rural health in Clearbrook, Minnesota and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Tony Lee Morrison, Vice President, Revenue Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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)
Sanford Bagley Clearbrook Clinic 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 Sanford Bagley Clearbrook Clinic, which bills Medicare for the services they deliver. Of these, 1 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.
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 24D0408597
Sanford Bagley Clearbrook Clinic · Clearbrook, 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 Sanford Health Of Northern Minnesota's NPI number?
The NPI number for Sanford Health Of Northern Minnesota is 1457624272. It was assigned to this organization in the NPPES registry on February 10, 2012. The provider is doing business as Sanford Bagley Clearbrook Clinic.
Where is Sanford Health Of Northern Minnesota located?
Sanford Health Of Northern Minnesota is located at 22 Elm St NW, Clearbrook, MN 56634. The listed phone number is (218) 694-3124.
What is Sanford Health Of Northern Minnesota's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Sanford Health Of Northern Minnesota enrolled in Medicare?
Yes. Sanford Health Of Northern Minnesota is registered in the Medicare PECOS enrollment system.
When is Sanford Health Of Northern Minnesota'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 Sanford Health Of Northern Minnesota?
According to the CMS Revalidation Reassignment List (October 2026 release), 603 clinicians in 54 Medicare specialties reassign their Medicare billing to Sanford Health Of Northern Minnesota. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sanford Health Of Northern Minnesota hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D0408597) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sanford Health Of Northern Minnesota accept?
Health plans from Sanford Health Plan and Security Health Plan list Sanford Health Of Northern Minnesota 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 Health Of Northern Minnesota was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Bagley Clearbrook Clinic · NPI 1457624272
Rural Health organization in Clearbrook, Minnesota. Organization record, active in the CMS NPPES registry since February 10, 2012.
## Identity
- **NPI:** 1457624272 (Entity type: Organization)
- **Enumerated:** February 10, 2012
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Sanford Health Of Northern Minnesota
- **Organization subpart:** No
- **Authorized official:** Tony Morrison, VICE PRESIDENT, REVENUE CYCLE
## Practice location
- **Address:** 22 ELM ST NW, Clearbrook, MN 56634
- **Phone:** (218) 694-3124 · **Fax:** (218) 694-3184
## 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); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1457624272/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 27, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457624272) · Data from the CMS NPPES public registry.