BROCK S CLOUGH APRN, CRNA
NPI 1811534118
Nurse Anesthetist, Certified Registered in Virginia, MN

Active since December 05, 2019PECOS EnrolledAccepts Medicare Assignment
1101 9TH ST N, VIRGINIA, MN 55792(218) 741-0150 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2020, Dec 5, 2019 (2 updates tracked since 2019).

About Brock S Clough Aprn, Crna NPPES

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

BROCK S CLOUGH APRN, CRNA (NPI 1811534118) is an individual nurse anesthetist, certified registered in Virginia, Minnesota, licensed in Minnesota (2432) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, is affiliated with Essentia Health Virginia, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811534118
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBROCK S CLOUGHCredential: APRN, CRNA
Location Address1101 9TH ST NVirginia, MN 55792-2329
Mailing Address1702 University Dr SFargo, ND 58103-4940
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 5, 2019
Last NPPES UpdateJanuary 13, 20202 updates tracked since enumeration
✔ NPI 1811534118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · 2432
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1101 9TH ST N, Virginia, MN 55792

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brock S Clough Aprn, Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103251855
PECOS Enrollment IDI20200127001824
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Brock Clough reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1101 9TH ST N
Virginia, MN 55792
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,460 clinicians in this Medicare group
Family Medicine
200 1ST AVE SE
Pierz, MN 56364
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1336359009 (Minnesota)
  • 205 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
14054 BANK ST, BOX 100
Becker, MN 55308
  • Reassigned Medicare billing, Minnesota enrollment
  • 52 clinicians in this Medicare group
Anesthesiology
3300 OAKDALE AVE N
Robbinsdale, MN 55422
  • Reassigned Medicare billing, Minnesota enrollment
  • 246 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
17 services17 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
16 services16 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health Virginia

Acute Care Hospitals · Virginia, MN
OwnershipGovernment - Local
CMS Certification Number240084
Location901 9th Street NorthVirginia, MN 55792 · St. Louis County
Birthing friendly

Fairview Northland Regional Hospital

Acute Care Hospitals · Princeton, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240141
Location911 Northland DrivePrinceton, MN 55371 · Mille Lacs County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1101 9TH ST N
VIRGINIA, MN 55792
Dermatology
1101 9TH ST N
VIRGINIA, MN 55792
Nurse Practitioner (Family)
1101 9TH ST N
VIRGINIA, MN 55792
Audiologist
1101 9TH ST N
VIRGINIA, MN 55792
Surgery
1101 9TH ST N
VIRGINIA, MN 55792
Surgery
1101 9TH ST N
VIRGINIA, MN 55792
Family Medicine
1101 9TH ST N
VIRGINIA, MN 55792
Nurse Practitioner (Family)
1101 9TH ST N, DULUTH CLINIC-VIRGINIA
VIRGINIA, MN 55792

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 Brock Clough's NPI number?

The NPI number for Brock Clough is 1811534118. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Where is Brock Clough located?

Brock Clough practices at 1101 9th St N, Virginia, MN 55792. The listed phone number is (218) 741-0150.

What is Brock Clough's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Brock Clough enrolled in Medicare?

Yes. Brock Clough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brock Clough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brock Clough reassigns Medicare benefits to 4 organizations: The Duluth Clinic, Ltd (Virginia, MN), Unity Family Healthcare (Pierz, MN), Central Minnesota Anesthesia Providers, PA (Becker, MN) and Anesthesiology, P.A. (Robbinsdale, MN). Each 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 Brock Clough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brock Clough affiliated with any hospitals?

According to CMS data, Brock Clough is affiliated with Essentia Health Virginia and Fairview Northland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Brock Clough was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.