ST ANSGAR CLINIC
NPI 1518059138
Clinic/Center - Rural Health in Saint Ansgar, IA

Active since September 29, 2006CLIA 16D0384141 · Certificate of Compliance
140 W 4TH ST, SUITE 1, SAINT ANSGAR, IA 50472(641) 736-4401(641) 713-4977 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About St Ansgar Clinic NPPES

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

ST ANSGAR CLINIC (NPI 1518059138) is a healthcare organization registered as a rural health in Saint Ansgar, Iowa and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 18, 2027 and lists Michele Russell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518059138
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMITCHELL COUNTY MEMORIAL HOSPITAL
Location Address140 W 4TH ST, SUITE 1Saint Ansgar, IA 50472-1352
Mailing Address616 N 8th StOsage, IA 50461-1456 · (641) 732-6000 · Fax (641) 732-6028
Fax(641) 713-4977
Organization SubpartNo
Authorized OfficialMichele RussellCeo · (641) 732-6003
Enumeration DateSeptember 29, 2006
Last NPPES UpdateDecember 7, 2020
NPPES CertifiedDecember 7, 2020
✔ NPI 1518059138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
140 W 4TH ST, Saint Ansgar, IA 50472

Other Names 1

Doing Business AsSt Ansgar Clinic

Other Identifiers 1

Medicaid0634451IA

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)

St Ansgar Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to St Ansgar Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner7
Family Practice5
Certified Registered Nurse Anesthetist (CRNA)3
Cardiovascular Disease (Cardiology)1
Dermatology1
General Practice1
General Surgery1
Internal Medicine1
4 other specialties4

Nearest to this location (20)

See all 24
Family Practice
NPI 1770675399
140 W 4TH ST STE 1
Saint Ansgar, IA 50472
(641) 736-4401
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558825190
140 W 4TH ST
Saint Ansgar, IA 50472
(641) 736-4401
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942286422
620 N 8TH ST
Osage, IA 50461
(641) 732-6100
✔ PECOS✔ Accepts Medicare8.3 mi
General Practice
NPI 1417330069
620 N 8TH ST
Osage, IA 50461
(641) 732-6100
✔ PECOS✔ Accepts Medicare8.3 mi
Family Practice
NPI 1710079322
620 N 8TH ST
Osage, IA 50461
(641) 732-6100
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1083751028
620 N 8TH ST
Osage, IA 50461
(641) 732-6100
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1629453824
620 N 8TH ST
Osage, IA 50461
(641) 732-6100
✔ PECOS✔ Accepts Medicare8.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1922014026
616 N 8TH ST
Osage, IA 50461
(641) 732-6000
✔ PECOS✔ Accepts Medicare8.3 mi
Family Practice
NPI 1346731031
616 N 8TH ST
Osage, IA 50461
(641) 732-6000
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1780090597
616 N 8TH ST
Osage, IA 50461
(641) 732-6000
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1871579177
1000 1ST DR NW
Austin, MN 55912
(507) 434-1092
✔ PECOS✔ Accepts Medicare21 mi
Internal Medicine
NPI 1053398180
250 S CRESCENT DR
Mason City, IA 50401
(641) 494-5300
✔ PECOS22 mi
Cardiovascular Disease (Cardiology)
NPI 1790217677
250 S CRESCENT DR
Mason City, IA 50401
(641) 494-5300
✔ PECOS✔ Accepts Medicare22 mi
Otolaryngology
NPI 1467610196
250 S CRESCENT DR
Mason City, IA 50401
(641) 494-5380
✔ PECOS22 mi
Orthopedic Surgery
NPI 1295737484
250 S CRESCENT DR
Mason City, IA 50401
(641) 494-5210
✔ PECOS✔ Accepts Medicare22 mi
Dermatology
NPI 1316269160
1421 4TH ST SW
Mason City, IA 50401
(641) 428-2080
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1982070405
321 8TH AVE W
Cresco, IA 52136
(563) 547-2022
✔ PECOS✔ Accepts Medicare40 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205298668
901 MONTGOMERY ST
Decorah, IA 52101
(563) 382-2911
✔ PECOS✔ Accepts Medicare58 mi
Family Practice
NPI 1477565976
1519 S PHILLIPS ST
Algona, IA 50511
(515) 295-7714
✔ PECOS✔ Accepts Medicare70 mi
Optometry
NPI 1831181668
1620 SUPERIOR ST UNIT 3
Webster City, IA 50595
(515) 832-2401
✔ PECOS✔ Accepts Medicare78 mi
See all 24 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 Compliance 16D0384141

St Ansgar Clinic Mitchell County Regional Health Center · Saint Ansgar, IA
Active · expires Dec 18, 2027
CLIA Number16D0384141
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorKeri A. Erickson
Laboratory Phone(641) 736-4401
Laboratory LocationSt Ansgar Clinic Mitchell County Regional Health Center140 West 4th Street, Saint Ansgar, IA 50472
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Mitchell County Memorial Hospital's NPI number?

The NPI number for Mitchell County Memorial Hospital is 1518059138. It was assigned to this organization in the NPPES registry on September 29, 2006. The provider is doing business as St Ansgar Clinic.

Where is Mitchell County Memorial Hospital located?

Mitchell County Memorial Hospital is located at 140 W 4th St Suite 1, Saint Ansgar, IA 50472. The listed phone number is (641) 736-4401.

What is Mitchell County Memorial Hospital's specialty?

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

Is Mitchell County Memorial Hospital enrolled in Medicare?

Yes. Mitchell County Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mitchell County Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 12 Medicare specialties reassign their Medicare billing to Mitchell County Memorial Hospital. 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 (7), Family Practice (5) and Certified Registered Nurse Anesthetist (CRNA) (3). Of these, 2 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mitchell County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 16D0384141) is associated with this NPI, valid through December 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mitchell County Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 1 other insurer list Mitchell County Memorial Hospital 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 Mitchell County Memorial Hospital was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.