ESSENTIA HEALTH MENAHGA CLINIC
NPI 1467798322
Clinic/Center - Rural Health in Menahga, MN

Active since December 21, 2012CLIA 24D0670411 · Waiver
212 ASPEN AVE NE, MENAHGA, MN 56464(218) 564-4131(218) 564-5287 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2021, May 17, 2019, Aug 11, 2016 (3 updates tracked since 2016).

About Essentia Health Menahga Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESSENTIA HEALTH MENAHGA CLINIC (NPI 1467798322) is a healthcare organization registered as a rural health in Menahga, Minnesota and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Alan James Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1467798322
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameST MARY'S REGIONAL HEALTH CENTER
Location Address212 ASPEN AVE NEMenahga, MN 56464-3289
Mailing Address1027 Washington AveDetroit Lakes, MN 56501-3409 · (218) 847-5611 · Fax (218) 847-0881
Fax(218) 564-5287
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan James HurleyCoo · (701) 364-7667
Enumeration DateDecember 21, 2012
Last NPPES UpdateMarch 1, 20243 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1467798322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
212 ASPEN AVE NE, Menahga, MN 56464

Other Names 1

Doing Business AsEssentia Health Menahga Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Essentia Health Menahga Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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.

StateEnrollment IDDue date
StateMinnesotaEnrollment IDO20031117000090Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

254

Medicare enrollment records show 254 clinicians reassign Medicare billing to Essentia Health Menahga Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 39

Nurse Practitioner91
Hospitalist19
Family Practice17
Emergency Medicine14
Obstetrics/Gynecology12
Certified Registered Nurse Anesthetist (CRNA)11
General Surgery10
Internal Medicine9
31 other specialties71

Nearest to this location (20)

See all 254
Pediatric Medicine
NPI 1144261074
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1114972221
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ PECOS11 mi
Qualified Speech Language Pathologist
NPI 1609389279
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
11 mi
Nurse Practitioner
NPI 1205206117
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1891144085
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1902845456
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ PECOS✔ Accepts Medicare11 mi
Occupational Therapist in Private Practice
NPI 1497050686
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ Accepts Medicare11 mi
Family Practice
NPI 1528086170
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1053189449
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1861830275
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1437554482
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ PECOS11 mi
Clinical Psychologist
NPI 1346281987
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ PECOS✔ Accepts Medicare11 mi
Internal Medicine
NPI 1255372900
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ PECOS✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1003008525
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ Accepts Medicare11 mi
Chiropractic
NPI 1922464205
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1215471529
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ Accepts Medicare11 mi
General Surgery
NPI 1891956215
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ PECOS✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1073868428
705 PLEASANT AVE S
Park Rapids, MN 56470
(218) 732-2800
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1497543391
1103 1ST ST E
Park Rapids, MN 56470
(218) 732-2858
✔ Accepts Medicare12 mi
Qualified Speech Language Pathologist
NPI 1902332000
TELEMEDICINE SERVICES 501 EASTERN AVE S
Park Rapids, MN 56470
(319) 471-8328
✔ Accepts Medicare16 mi
See all 254 clinicians

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 24D0670411

Essentia Health - Menahga · Menahga, MN
Active · expires Sep 30, 2027
CLIA Number24D0670411
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorAaron W. Sykes
Laboratory Phone(218) 732-6305
Laboratory LocationEssentia Health - Menahga212 Aspen Ave, Menahga, MN 56464
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 St Mary's Regional Health Center's NPI number?

The NPI number for St Mary's Regional Health Center is 1467798322. It was assigned to this organization in the NPPES registry on December 21, 2012. The provider is doing business as Essentia Health Menahga Clinic.

Where is St Mary's Regional Health Center located?

St Mary's Regional Health Center is located at 212 Aspen Ave NE, Menahga, MN 56464. The listed phone number is (218) 564-4131.

What is St Mary's Regional Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is St Mary's Regional Health Center enrolled in Medicare?

Yes. St Mary's Regional Health Center is registered in the Medicare PECOS enrollment system.

When is St Mary's Regional Health Center'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 January 31, 2027. 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 St Mary's Regional Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 254 clinicians in 39 Medicare specialties reassign their Medicare billing to St Mary's Regional Health 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 (91), Hospitalist (19) and Family Practice (17). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does St Mary's Regional Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0670411) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Mary's Regional Health Center accept?

Health plans from Sanford Health Plan list St Mary's Regional Health 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 St Mary's Regional Health Center was last updated on March 1, 2024. 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.