WINONA HEALTH SERVICES PHYSICIAN GROUP
NPI 1720210099
General Practice in Winona, MN

Active since August 19, 2009
855 MANKATO AVE, WINONA, MN 55987(507) 457-4321(507) 474-3224 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Winona Health Services Physician Group NPPES

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

WINONA HEALTH SERVICES PHYSICIAN GROUP (NPI 1720210099) is a healthcare organization registered as a general practice in Winona, Minnesota and active in the NPI registry since August 2009. The organization lists Jan Brosnahan, Cfo, as its authorized official.

NPPES Registry Identity

NPI1720210099
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWINONA HEALTH SERVICES
Location Address855 MANKATO AVEWinona, MN 55987-4868
Mailing Address855 Mankato Ave, Po Box 5600Winona, MN 55987-4868 · (507) 457-4321 · Fax (507) 474-3224
Fax(507) 474-3224
Organization SubpartNo
Authorized OfficialJan BrosnahanCfo · (507) 454-3650
Enumeration DateAugust 19, 2009
Last NPPES UpdateNovember 24, 2021
NPPES CertifiedNovember 24, 2021
✔ NPI 1720210099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 331049 (MN)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 350478 (MN)
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X · License 350478 (MN)
Also ListedEyewear SupplierTaxonomy 332H00000X · License 347609 (MN)
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License 350478 (MN)
855 MANKATO AVE, Winona, MN 55987

Other Names 1

Other NameWinona Health Services Physician Group

Other Identifiers 4

Other38040COMN · Blue Shield
Other24D0041006Clia
Medicaid124847200MN
Medicaid11004400WI

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)

Winona Health Services Physician Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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 IDO20040106000260Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

330

Medicare enrollment records show 330 clinicians reassign Medicare billing to Winona Health Services Physician Group, which bills Medicare for the services they deliver. Of these, 38 practice at this address and 55 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 38

Cardiovascular Disease (Cardiology)46
Emergency Medicine39
Nurse Practitioner39
Certified Registered Nurse Anesthetist (CRNA)32
Psychiatry20
Family Practice18
Obstetrics/Gynecology17
Internal Medicine16
30 other specialties103

Nearest to this location (20)

See all 330
Nurse Practitioner
NPI 1588347587
855 MANKATO AVE
Winona, MN 55987
(507) 454-3650
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235887985
855 MANKATO AVE
Winona, MN 55987
(507) 457-3650
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1659670016
855 MANKATO AVE
Winona, MN 55987
(507) 454-3650
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1154647808
855 MANKATO AVE
Winona, MN 55987
(507) 454-3680
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1245347780
855 MANKATO AVE
Winona, MN 55987
(507) 454-3680
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1699117572
855 MANKATO AVE
Winona, MN 55987
(507) 454-3650
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1225328735
855 MANKATO AVE
Winona, MN 55987
(507) 454-3680
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1780894527
855 MANKATO AVE
Winona, MN 55987
(507) 454-3650
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1104403807
855 MANKATO AVE
Winona, MN 55987
(507) 454-3650
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1346772159
855 MANKATO AVE
Winona, MN 55987
(507) 454-3650
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1851616791
855 MANKATO AVE
Winona, MN 55987
(507) 454-3650
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1639334873
855 MANKATO AVE
Winona, MN 55987
(507) 454-3650
✔ PECOSSame address
Clinical Social Worker
NPI 1639891203
855 MANKATO AVE
Winona, MN 55987
(507) 454-3650
✔ PECOSSame address
Podiatry
NPI 1962435172
855 MANKATO AVE
Winona, MN 55987
(507) 454-3650
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1588303978
855 MANKATO AVE
Winona, MN 55987
(507) 454-3650
✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1215820741
855 MANKATO AVE
Winona, MN 55987
(507) 454-3650
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1487675609
855 MANKATO AVE
Winona, MN 55987
(507) 454-3680
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1710997218
855 MANKATO AVE
Winona, MN 55987
(507) 454-3680
✔ PECOSSame address
Mental Health Counselor
NPI 1609587773
855 MANKATO AVE
Winona, MN 55987
(507) 454-3650
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1669541702
855 MANKATO AVE
Winona, MN 55987
(504) 454-3650
✔ PECOS✔ Accepts MedicareSame address
See all 330 clinicians

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 Winona Health Services's NPI number?

The NPI number for Winona Health Services is 1720210099. It was assigned to this organization in the NPPES registry on August 19, 2009. The provider is also known as Winona Health Services Physician Group.

Where is Winona Health Services located?

Winona Health Services is located at 855 Mankato Ave, Winona, MN 55987. The listed phone number is (507) 457-4321.

What is Winona Health Services's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Winona Health Services enrolled in Medicare?

Yes. Winona Health Services is registered in the Medicare PECOS enrollment system.

When is Winona Health Services'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 February 28, 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 Winona Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 330 clinicians in 38 Medicare specialties reassign their Medicare billing to Winona Health Services. 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 Cardiovascular Disease (Cardiology) (46), Emergency Medicine (39) and Nurse Practitioner (39). Of these, 38 practice at this address and 55 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Winona Health Services was last updated on November 24, 2021. 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.