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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NORTHWEST DAKOTA MANAGEMENT LLC
NPI 1669216974
Clinic/Center in Minot, ND

Active since June 21, 2024
1002 18TH AVENUE SE, MINOT, ND 58701(951) 736-0137 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2026, Sep 14, 2026, Oct 11, 2024 and 1 more (4 updates tracked since 2024).

About Northwest Dakota Management Llc NPPES

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

NORTHWEST DAKOTA MANAGEMENT LLC (NPI 1669216974), doing business as Dakota Physicians Group, is a healthcare organization registered as a clinic/center in Minot, North Dakota and active in the NPI registry since June 2024. The organization lists Suzanne Hawthorn, Coordinator, as its authorized official.

NPPES Registry Identity

NPI1669216974
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNORTHWEST DAKOTA MANAGEMENT LLC
Location Address1002 18TH AVENUE SEMinot, ND 58701
Mailing Address1002 18th Ave Se Ste BMinot, ND 58701-6785 · (701) 852-6143 · Fax (701) 418-0778
Phone(951) 736-0137
Organization SubpartNo
Authorized OfficialSuzanne HawthornCoordinator · (951) 736-0137
Enumeration DateJune 21, 2024
Last NPPES UpdateSeptember 28, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1669216974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1002 18TH AVENUE SE, Minot, ND 58701
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Other Names 1

Doing Business AsDakota Physicians Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, 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)

Northwest Dakota Management Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Northwest Dakota Management LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Daniel Bennett, M.D, DABPM
Pain Management
NPI 1255355467
1002 18TH AVE SE
Minot, ND 58701
(701) 852-6143
✔ PECOS✔ Accepts MedicareSame address
Gillian Lavik, MD
General Surgery
NPI 1659690618
1002 18TH AVE SE
Minot, ND 58701
(701) 852-6143
✔ PECOS✔ Accepts MedicareSame address
Daniel Lee, DO
Orthopedic Surgery
NPI 1679891535
1002 18TH AVE SE
Minot, ND 58701
(701) 852-6143
✔ PECOS✔ Accepts MedicareSame address
Joel Pessa, MD
Plastic and Reconstructive Surgery
NPI 1326034018
1002 18TH AVE SE
Minot, ND 58701
(701) 852-6143
✔ PECOS✔ Accepts MedicareSame address
Aaron Albers, DPM
Podiatry
NPI 1295044212
1002 18TH AVE SE
Minot, ND 58701
(701) 852-6153
✔ PECOS✔ Accepts MedicareSame address
Blendi Cumani, MD
General Surgery
NPI 1164744942
2305 37TH AVE SW
Minot, ND 58701
(701) 857-5000
✔ PECOS✔ Accepts Medicare2.7 mi
Jennifer Levy, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871009696
353 FAIRMONT BLVD
Rapid City, SD 57701
(605) 755-1000
✔ PECOS✔ Accepts Medicare302 mi
Jerel Brandt, DO
General Surgery
NPI 1104051101
520 S EAGLE RD
Meridian, ID 83642
(208) 381-6930
✔ PECOS✔ Accepts Medicare792 mi

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 Northwest Dakota Management LLC's NPI number?

The NPI number for Northwest Dakota Management LLC is 1669216974. It was assigned to this organization in the NPPES registry on June 21, 2024. The provider is doing business as Dakota Physicians Group.

Where is Northwest Dakota Management LLC located?

Northwest Dakota Management LLC is located at 1002 18th Avenue SE, Minot, ND 58701. The listed phone number is (951) 736-0137.

What is Northwest Dakota Management LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Northwest Dakota Management LLC enrolled in Medicare?

Yes. Northwest Dakota Management LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Dakota Management LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 6 Medicare specialties reassign their Medicare billing to Northwest Dakota Management LLC. 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 General Surgery (3), Certified Registered Nurse Anesthetist (CRNA) (1) and Orthopedic Surgery (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northwest Dakota Management LLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Northwest Dakota Management LLC 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 Northwest Dakota Management LLC was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.