NORTHERN PLAINS FAMILY MEDICINE AND BEHAVIORAL HEALTH, P.C.
NPI 1588929004
Family Medicine - Addiction Medicine in International Falls, MN
About Northern Plains Family Medicine And Behavioral Health, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHERN PLAINS FAMILY MEDICINE AND BEHAVIORAL HEALTH, P.C. (NPI 1588929004) is a healthcare organization registered as an addiction medicine in International Falls, Minnesota and active in the NPI registry since July 2012. The organization maintains a secondary practice location in International Falls and lists Scharazard Lee Gray, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
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)
Northern Plains Family Medicine And Behavioral Health, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Northern Plains Family Medicine And Behavioral Health, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Northern Plains Family Medicine And Behavioral Health, P.C.'s NPI number?
The NPI number for Northern Plains Family Medicine And Behavioral Health, P.C. is 1588929004. It was assigned to this organization in the NPPES registry on July 10, 2012.
Where is Northern Plains Family Medicine And Behavioral Health, P.C. located?
Northern Plains Family Medicine And Behavioral Health, P.C. is located at 343 3rd St, International Falls, MN 56649. The listed phone number is (218) 208-3668.
What is Northern Plains Family Medicine And Behavioral Health, P.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.
Is Northern Plains Family Medicine And Behavioral Health, P.C. enrolled in Medicare?
Yes. Northern Plains Family Medicine And Behavioral Health, P.C. is registered in the Medicare PECOS enrollment system.
When is Northern Plains Family Medicine And Behavioral Health, P.C.'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 (North Dakota, Clinic/Group Practice) is due for revalidation by December 31, 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 Northern Plains Family Medicine And Behavioral Health, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Addiction Medicine) reassigns their Medicare billing to Northern Plains Family Medicine And Behavioral Health, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Northern Plains Family Medicine And Behavioral Health, P.C. was last updated on April 19, 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.
# Northern Plains Family Medicine And Behavioral Health, P.c. · NPI 1588929004
Addiction Medicine organization in International Falls, Minnesota. Organization record, active in the CMS NPPES registry since July 10, 2012.
## Identity
- **NPI:** 1588929004 (Entity type: Organization)
- **Enumerated:** July 10, 2012
- **Primary specialty:** Family Medicine - Addiction Medicine · taxonomy 207QA0401X
- **Organization subpart:** No
- **Authorized official:** Scharazard Gray, PHYSICIAN/OWNER
## Practice location
- **Address:** 343 3RD ST, International Falls, MN 56649-2321
- **Phone:** (218) 208-3668 · **Fax:** (888) 972-4098
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, North Dakota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Addiction Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1588929004) · Data from the CMS NPPES public registry.