CROMWELL MEDICAL CLINIC PLLC
NPI 1821250549
Clinic/Center - Primary Care in Cromwell, MN
About Cromwell Medical Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CROMWELL MEDICAL CLINIC PLLC (NPI 1821250549) is a healthcare organization registered as a primary care in Cromwell, Minnesota and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through June 17, 2028 and lists Shawn F Bode, Sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Cromwell Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Cromwell Medical Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 24D1085476
Cromwell Medical Clinic PLLC · Cromwell, 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 Cromwell Medical Clinic PLLC's NPI number?
The NPI number for Cromwell Medical Clinic PLLC is 1821250549. It was assigned to this organization in the NPPES registry on June 25, 2008.
Where is Cromwell Medical Clinic PLLC located?
Cromwell Medical Clinic PLLC is located at 5568 Clark Ave Ste 1, Cromwell, MN 55726. The listed phone number is (218) 644-3811.
What is Cromwell Medical Clinic PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Cromwell Medical Clinic PLLC enrolled in Medicare?
Yes. Cromwell Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cromwell Medical Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cromwell Medical Clinic PLLC, in Family Practice and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cromwell Medical Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D1085476) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cromwell Medical Clinic PLLC accept?
Health plans from Aspirus Health Plan, HealthPartners, Sanford Health Plan and Security Health Plan list Cromwell Medical Clinic PLLC 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 Cromwell Medical Clinic PLLC was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Cromwell Medical Clinic Pllc · NPI 1821250549
Primary Care organization in Cromwell, Minnesota. Organization record, active in the CMS NPPES registry since June 25, 2008.
## Identity
- **NPI:** 1821250549 (Entity type: Organization)
- **Enumerated:** June 25, 2008
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Shawn Bode, SOLE MEMBER
## Practice location
- **Address:** 5568 CLARK AVE STE 1, Cromwell, MN 55726-5004
- **Phone:** (218) 644-3811 · **Fax:** (218) 644-3813
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821250549) · Data from the CMS NPPES public registry.