CORNERSTONE CLINIC , PSC
NPI 1801575725
Clinic/Center - Primary Care in Fairmont, MN
About Cornerstone Clinic , Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORNERSTONE CLINIC , PSC (NPI 1801575725) is a healthcare organization registered as a primary care in Fairmont, Minnesota and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Samantha Farnum, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Cornerstone Clinic , Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Cornerstone Clinic , Psc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 24D2307163
Cornerstone Clinic · Fairmont, 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 Cornerstone Clinic , Psc's NPI number?
The NPI number for Cornerstone Clinic , Psc is 1801575725. It was assigned to this organization in the NPPES registry on July 17, 2023.
Where is Cornerstone Clinic , Psc located?
Cornerstone Clinic , Psc is located at 410 Downtown Plz, Fairmont, MN 56031. The listed phone number is (507) 848-8567.
What is Cornerstone Clinic , Psc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Cornerstone Clinic , Psc enrolled in Medicare?
Yes. Cornerstone Clinic , Psc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cornerstone Clinic , Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Cornerstone Clinic , Psc. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cornerstone Clinic , Psc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2307163) is associated with this NPI, valid through July 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Cornerstone Clinic , Psc was last updated on April 3, 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.
# Cornerstone Clinic , Psc · NPI 1801575725
Primary Care organization in Fairmont, Minnesota. Organization record, active in the CMS NPPES registry since July 17, 2023.
## Identity
- **NPI:** 1801575725 (Entity type: Organization)
- **Enumerated:** July 17, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Samantha Farnum, CEO
## Practice location
- **Address:** 410 DOWNTOWN PLZ, Fairmont, MN 56031-1714
- **Phone:** (507) 848-8567
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801575725) · Data from the CMS NPPES public registry.