NORTH COUNTRY PSYCHIATRY
NPI 1760078760
Nurse Practitioner - Psychiatric/Mental Health in Park Rapids, MN
About North Country Psychiatry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH COUNTRY PSYCHIATRY (NPI 1760078760) is a healthcare organization registered as a psychiatric/mental health in Park Rapids, Minnesota and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Robert Daun, Sole-member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Country Psychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to North Country Psychiatry, 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.
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 24D2243099
North Country Psychiatry · Northfield, MNFrequently 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 North Country Psychiatry's NPI number?
The NPI number for North Country Psychiatry is 1760078760. It was assigned to this organization in the NPPES registry on December 15, 2020.
Where is North Country Psychiatry located?
North Country Psychiatry is located at 58714 Frazier St, Park Rapids, MN 56470. The listed phone number is (507) 301-6657.
What is North Country Psychiatry's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is North Country Psychiatry enrolled in Medicare?
Yes. North Country Psychiatry is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Country Psychiatry?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to North Country Psychiatry. 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.
Does North Country Psychiatry hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2243099) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for North Country Psychiatry was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# North Country Psychiatry · NPI 1760078760
Psychiatric/Mental Health organization in Park Rapids, Minnesota. Organization record, active in the CMS NPPES registry since December 15, 2020.
## Identity
- **NPI:** 1760078760 (Entity type: Organization)
- **Enumerated:** December 15, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Robert Daun, SOLE-MEMBER
## Practice location
- **Address:** 58714 FRAZIER ST, Park Rapids, MN 56470-3053
- **Phone:** (507) 301-6657
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 7, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760078760) · Data from the CMS NPPES public registry.