AVERA ST LUKES
NPI 1760423057
Clinic/Center - Rural Health in Ellendale, ND
About Avera St Lukes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA ST LUKES (NPI 1760423057), doing business as Avera Clinic Of Ellendale, is a healthcare organization registered as a rural health in Ellendale, North Dakota and active in the NPI registry since June 2006. The organization maintains a secondary practice location in Oakes and lists Daniel J Bjerknes, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 3
Accepted 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)
Avera St Lukes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Avera St Lukes, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (13)
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 Avera St Lukes's NPI number?
The NPI number for Avera St Lukes is 1760423057. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as Avera Clinic of Ellendale.
Where is Avera St Lukes located?
Avera St Lukes is located at 240 Main St, Ellendale, ND 58436. The listed phone number is (701) 349-3666.
What is Avera St Lukes's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Avera St Lukes enrolled in Medicare?
Yes. Avera St Lukes is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avera St Lukes?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 6 Medicare specialties reassign their Medicare billing to Avera St Lukes. 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 Nurse Practitioner (7), Family Practice (2) and Certified Clinical Nurse Specialist (CNS) (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Avera St Lukes accept?
Health plans from Blue Cross Blue Shield of North Dakota and Medica list Avera St Lukes 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 Avera St Lukes was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Avera St Lukes · NPI 1760423057
Rural Health organization in Ellendale, North Dakota. Organization record, active in the CMS NPPES registry since June 9, 2006.
## Identity
- **NPI:** 1760423057 (Entity type: Organization)
- **Enumerated:** June 9, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Avera Clinic of Ellendale (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Daniel Bjerknes, PRESIDENT/CEO
## Practice location
- **Address:** 240 MAIN ST, Ellendale, ND 58436
- **Phone:** (701) 349-3666 · **Fax:** (701) 349-4945
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (2), Certified Clinical Nurse Specialist (CNS) (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2026
- **Other identifiers:** Medicaid 1451171 (ND); Medicaid 1009046 (SD); Other N70860 (ND)
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Source: [NPI Profile](https://npiprofile.com/npi/1760423057) · Data from the CMS NPPES public registry.