MOUNTRAIL COUNTY MEDICAL CENTER, INC.
NPI 1831289362
Clinic/Center - Rural Health in Stanley, ND

Active since October 13, 2006CLIA 35D0690089 · Waiver
615 6TH ST SE, STANLEY, ND 58784(701) 628-2505(701) 628-3990 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 25, 2025, Jan 2, 2025, Nov 1, 2022 and 1 more (4 updates tracked since 2019).

About Mountrail County Medical Center, Inc. NPPES

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

MOUNTRAIL COUNTY MEDICAL CENTER, INC. (NPI 1831289362) is a healthcare organization registered as a rural health in Stanley, North Dakota and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Stephanie Everett, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831289362
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMOUNTRAIL COUNTY MEDICAL CENTER, INC.
Location Address615 6TH ST SEStanley, ND 58784-4444
Mailing AddressPo Box 399Stanley, ND 58784-0399 · (701) 628-8602 · Fax (701) 628-3990
Fax(701) 628-3990
Organization SubpartNo
Authorized OfficialStephanie EverettCeo · (701) 628-8603
Enumeration DateOctober 13, 2006
Last NPPES UpdateNovember 25, 20254 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1831289362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
615 6TH ST SE, Stanley, ND 58784

Other Identifiers 2

Medicaid12830ND
Medicaid05057ND

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)

Mountrail County Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Mountrail County Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner6
Clinical Social Worker2
Family Practice1
General Practice1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1447423538
615 6TH ST SE
Stanley, ND 58784
(701) 628-2505
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1710583885
615 6TH ST SE
Stanley, ND 58784
(701) 628-2424
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1942749247
615 6TH ST SE
Stanley, ND 58784
(701) 628-2505
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1750164042
615 6TH ST SE
Stanley, ND 58784
(701) 628-2424
✔ PECOS✔ Accepts Medicare0.1 mi
General Practice
NPI 1326278912
615 6TH ST SE
Stanley, ND 58784
(701) 628-2424
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1972734499
615 6TH ST SE
Stanley, ND 58784
(701) 628-2424
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1174248082
10 MISSILE AVE
Minot Afb, ND 58705
(701) 723-5633
✔ PECOS✔ Accepts Medicare50 mi
Clinical Social Worker
NPI 1801263884
111 11TH AVE SW STE 5
Minot, ND 58701
(701) 509-8351
✔ PECOS✔ Accepts Medicare50 mi
Nurse Practitioner
NPI 1962577411
400 BURDICK EXPY E
Minot, ND 58701
(701) 857-7382
✔ PECOS✔ Accepts Medicare51 mi
Family Practice
NPI 1922091628
S6296 PETERSON HILL ROAD
Viroqua, WI 54665
(608) 675-3652
✔ PECOS✔ Accepts Medicare639 mi

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 35D0690089

Mountrail County Medical Center Rhc · Stanley, ND
Active · expires Aug 31, 2028
CLIA Number35D0690089
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorWayne Jansen, MD
Laboratory Phone(701) 628-2505
Laboratory LocationMountrail County Medical Center Rhc615 6th St SE, Stanley, ND 58784
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mountrail County Medical Center, Inc.'s NPI number?

The NPI number for Mountrail County Medical Center, Inc. is 1831289362. It was assigned to this organization in the NPPES registry on October 13, 2006.

Where is Mountrail County Medical Center, Inc. located?

Mountrail County Medical Center, Inc. is located at 615 6th St SE, Stanley, ND 58784. The listed phone number is (701) 628-2505.

What is Mountrail County Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Mountrail County Medical Center, Inc. enrolled in Medicare?

Yes. Mountrail County Medical Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountrail County Medical Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Mountrail County Medical Center, Inc.. 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 (6), Clinical Social Worker (2) and Family Practice (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mountrail County Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D0690089) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountrail County Medical Center, Inc. accept?

Health plans from Blue Cross Blue Shield of North Dakota list Mountrail County Medical Center, Inc. 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 Mountrail County Medical Center, Inc. was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.