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GLENWOOD MEDICAL CENTER
NPI 1649285172
Family Medicine in Glenwood, MN

Active since July 31, 2006CLIA 24D1045412 · Waiver
417 FRANKLIN ST S, GLENWOOD, MN 56334(320) 634-4521(320) 634-2262 Get Directions Write a Review

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Glenwood Medical Center NPPES

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

GLENWOOD MEDICAL CENTER (NPI 1649285172) is a healthcare organization registered as a family medicine in Glenwood, Minnesota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 13, 2027 and lists Kirk Stensrud, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649285172
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGLACIAL RIDGE HOSPITAL DISTRICT
Location Address417 FRANKLIN ST SGlenwood, MN 56334-1518
Mailing Address417 Franklin St SGlenwood, MN 56334-1518 · (320) 634-4521 · Fax (320) 634-2262
Phone(320) 634-4521
Fax(320) 634-2262
Organization SubpartNo
Authorized OfficialKirk StensrudCeo · (320) 634-2208
Enumeration DateJuly 31, 2006
Last NPPES UpdateAugust 23, 2010
✔ NPI 1649285172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
417 FRANKLIN ST S, Glenwood, MN 56334
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Other Names 1

Doing Business AsGlenwood Medical Center

Other Identifiers 3

Medicaid376010300MN
Medicare ID-Type Unspecified243437
Medicare ID-Type UnspecifiedC02089MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.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)

Glenwood Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

111

Medicare enrollment records show 111 clinicians reassign Medicare billing to Glenwood Medical Center, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Certified Registered Nurse Anesthetist (CRNA)22
Nurse Practitioner18
Family Practice16
Emergency Medicine9
Internal Medicine7
Obstetrics/Gynecology6
Diagnostic Radiology5
Orthopedic Surgery4
16 other specialties24

Nearest to this location (20)

See all 111
Payton Bausman, MD
Family Practice
NPI 1073194379
417 FRANKLIN ST S
Glenwood, MN 56334
(320) 634-5157
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Ankeny, FNP-C
Nurse Practitioner
NPI 1154345759
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-4521
✔ PECOS✔ Accepts MedicareSame address
Roderick Brown, M.D.
Family Practice
NPI 1942214002
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-2215
✔ PECOS✔ Accepts MedicareSame address
Dana Citrowske Lee, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1568868024
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-4521
✔ PECOS✔ Accepts MedicareSame address
Erin Dahlke, M.D.
General Practice
NPI 1700028693
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-5157
✔ PECOS✔ Accepts MedicareSame address
Micala Danielson, CNP
Nurse Practitioner
NPI 1003581935
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-5157
✔ PECOS✔ Accepts MedicareSame address
Thomas Haus, M.D.
Family Practice
NPI 1902810062
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-4521
✔ PECOS✔ Accepts MedicareSame address
Joan Lunzer, MD
Internal Medicine
NPI 1346253366
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-5157
✔ PECOS✔ Accepts MedicareSame address
Gustave Mellgren, M.D.
Family Practice
NPI 1871562926
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-5157
✔ PECOS✔ Accepts MedicareSame address
Robert Montenegro, M.D.
Family Practice
NPI 1649284712
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-4521
✔ PECOS✔ Accepts MedicareSame address
Jenna Myrom, FNP
Nurse Practitioner
NPI 1821242728
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-4521
✔ PECOS✔ Accepts MedicareSame address
Margie Nelson, CFNP
Nurse Practitioner
NPI 1669572988
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-5157
✔ PECOS✔ Accepts MedicareSame address
David Polzin, M.D.
Family Practice
NPI 1427210533
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-5157
✔ PECOS✔ Accepts MedicareSame address
Rebeka Srbu, DO
Family Practice
NPI 1831753029
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-5157
✔ PECOS✔ Accepts MedicareSame address
Joshua Thomas, D.O.
Orthopedic Surgery
NPI 1962940890
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-4521
✔ PECOS✔ Accepts MedicareSame address
Jessica Vanderhagen, FNP-C
Nurse Practitioner
NPI 1871501734
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-4521
✔ PECOS✔ Accepts MedicareSame address
Duane Westberg, M.D.
Emergency Medicine
NPI 1578577656
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-4521
✔ PECOS✔ Accepts MedicareSame address
Jessica Wilson, CNP
Nurse Practitioner
NPI 1942889209
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-4521
✔ PECOSSame address
Kristi Winter, APRN CNP
Nurse Practitioner
NPI 1578279337
10 4TH AVE SE
Glenwood, MN 56334
(320) 634-4521
✔ PECOS✔ Accepts MedicareSame address
Joseph Schneiderhan, O.D.
Optometry
NPI 1003859786
16 MINNESOTA AVE W STE 102
Glenwood, MN 56334
(320) 334-3264
✔ PECOS✔ Accepts Medicare0.3 mi
See all 111 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 24D1045412

Glenwood Medical Center · Glenwood, MN
Active · expires Sep 13, 2027
CLIA Number24D1045412
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorDavid E. Polzin
Laboratory Phone(320) 634-5157
Laboratory LocationGlenwood Medical Center417 South Franklin, Glenwood, MN 56334
CLIA data matches this NPI record on: 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 Glacial Ridge Hospital District's NPI number?

The NPI number for Glacial Ridge Hospital District is 1649285172. It was assigned to this organization in the NPPES registry on July 31, 2006. The provider is doing business as Glenwood Medical Center.

Where is Glacial Ridge Hospital District located?

Glacial Ridge Hospital District is located at 417 Franklin St S, Glenwood, MN 56334. The listed phone number is (320) 634-4521.

What is Glacial Ridge Hospital District's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Glacial Ridge Hospital District enrolled in Medicare?

Yes. Glacial Ridge Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glacial Ridge Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 111 clinicians in 24 Medicare specialties reassign their Medicare billing to Glacial Ridge Hospital District. 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 Certified Registered Nurse Anesthetist (CRNA) (22), Nurse Practitioner (18) and Family Practice (16). Of these, 19 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Glacial Ridge Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1045412) is associated with this NPI, valid through September 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Glacial Ridge Hospital District accept?

Health plans from HealthPartners and Sanford Health Plan list Glacial Ridge Hospital District 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 Glacial Ridge Hospital District was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.