LONGVILLE LAKES CLINIC
NPI 1861414518
Family Medicine in Longville, MN

Active since July 24, 2006CLIA 24D0709280 · Accreditation
5/5
Overall Rating
180 JORDAN LANE, LONGVILLE, MN 56655(218) 363-3300(218) 363-2233 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Longville Lakes Clinic NPPES

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

LONGVILLE LAKES CLINIC (NPI 1861414518) is a healthcare organization registered as a family medicine in Longville, Minnesota and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through May 5, 2027 and lists Katie Berg, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1861414518
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCUYUNA REGIONAL MEDICAL CENTER
Location Address180 JORDAN LANELongville, MN 56655
Mailing Address320 East Main StreetCrosby, MN 56441 · (218) 546-7000 · Fax (218) 363-2233
Fax(218) 363-2233
Organization SubpartNo
Authorized OfficialKatie BergDirector Of Finance · (218) 546-7000
Enumeration DateJuly 24, 2006
Last NPPES UpdateMay 4, 2017
✔ NPI 1861414518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
180 JORDAN LANE, Longville, MN 56655

Other Names 1

Doing Business AsLongville Lakes Clinic

Other Identifiers 2

Other24-3872MN · Rhc
Medicaid684513400MN

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Longville Lakes Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMinnesotaEnrollment IDO20040707000501Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

223

Medicare enrollment records show 223 clinicians reassign Medicare billing to Longville Lakes Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Nurse Practitioner36
Certified Registered Nurse Anesthetist (CRNA)27
Emergency Medicine27
Internal Medicine21
Family Practice19
Neurology16
Critical Care (Intensivists)14
Hospitalist13
23 other specialties50

Nearest to this location (20)

See all 223
Family Practice
NPI 1760446868
180 JORDAN LANE
Longville, MN 56655
(218) 587-4416
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801088505
1601 GOLF COURSE RD
Grand Rapids, MN 55744
(218) 326-5000
✔ PECOS✔ Accepts Medicare35 mi
Hospitalist
NPI 1356861876
1601 GOLF COURSE RD
Grand Rapids, MN 55744
(218) 326-3401
✔ PECOS✔ Accepts Medicare35 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1134769243
320 E MAIN ST
Crosby, MN 56441
(218) 546-7000
✔ PECOS✔ Accepts Medicare37 mi
Osteopathic Manipulative Medicine
NPI 1720333891
320 E MAIN ST
Crosby, MN 56441
(218) 546-7000
✔ PECOS37 mi
Family Practice
NPI 1518942952
320 E MAIN ST CUYUNA REGIONAL MEDICAL CENTER
Crosby, MN 56441
(218) 546-7000
✔ PECOS✔ Accepts Medicare37 mi
Pediatric Medicine
NPI 1861483711
320 E MAIN ST
Crosby, MN 56441
(218) 546-7000
✔ PECOS37 mi
Internal Medicine
NPI 1891770244
320 E MAIN ST CENTRAL LAKES MEDICAL CLINIC PA
Crosby, MN 56441
(218) 546-8375
✔ PECOS✔ Accepts Medicare37 mi
Registered Dietitian or Nutrition Professional
NPI 1598405169
320 E MAIN ST
Crosby, MN 56441
(218) 546-7000
37 mi
General Surgery
NPI 1255315008
320 E MAIN ST CUYUNA REGIONAL MEDICAL CENTER
Crosby, MN 56441
(218) 546-7000
✔ PECOS✔ Accepts Medicare37 mi
Qualified Audiologist
NPI 1750366100
320 E MAIN ST
Crosby, MN 56441
(218) 546-7000
✔ Accepts Medicare37 mi
Emergency Medicine
NPI 1336168905
318 E MAIN ST
Crosby, MN 56441
(218) 546-2502
✔ PECOS37 mi
Endocrinology
NPI 1699268581
CUYUNA REGIONAL MEDICAL CENTER 320 EAST MAIN ST
Crosby, MN 56441
(218) 546-7000
✔ PECOS✔ Accepts Medicare37 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1962711523
CUYUNA REGIONAL MEDICAL CENTER 320 EAST MAIN ST
Crosby, MN 56441
(218) 546-7000
✔ PECOS✔ Accepts Medicare37 mi
Psychiatry
NPI 1790211589
CUYUNA REGIONAL MEDICAL CENTER 320 MAIN ST
Crosby, MN 56441
(218) 254-6700
✔ PECOS37 mi
Hematology/Oncology
NPI 1851826374
CUYUNA REGIONAL MEDICAL CENTER 320 EAST MAIN ST
Crosby, MN 56441
(218) 546-7000
✔ PECOS✔ Accepts Medicare37 mi
Occupational Therapist in Private Practice
NPI 1609017417
320 EAST MAIN STREET
Crosby, MN 56441
(218) 546-7000
✔ Accepts Medicare37 mi
Obstetrics/Gynecology
NPI 1265416127
320 E MAIN ST CUYUNA REGIONAL MEDICAL CENTER
Crosby, MN 56441
(218) 546-7000
✔ PECOS✔ Accepts Medicare37 mi
Clinical Psychologist
NPI 1790936003
320 EAST MAIN STREET
Crosby, MN 56441
(218) 546-7000
✔ PECOS37 mi
Neurology
NPI 1962031914
320 EAST MAIN ST
Crosby, MN 56441
(218) 546-7000
✔ PECOS✔ Accepts Medicare37 mi
See all 223 clinicians

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 Accreditation 24D0709280

Cuyuna Regional Medical Center - Longville · Longville, MN
Active · expires May 5, 2027
CLIA Number24D0709280
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorMs. Jennie M. Riles
Laboratory Phone(218) 363-3300
Laboratory LocationCuyuna Regional Medical Center - Longville180 Jordan Lane, Longville, MN 56655
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Cuyuna Regional Medical Center (CMS certification number 245232), from CMS Care Compare.

Cuyuna Regional Medical Center

Nursing home · Crosby, MN
5/5 CMS Overall Rating
OwnershipNon profit - Other
CMS Certification Number245232
Certified Beds54 beds41 residents per day on average
Medicare & Medicaid Participant SinceFebruary 1, 1980
Resident & Family CouncilResident and family councils
Hospital-based Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
15.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.57 · LPN 0.66 · RN 1.84
5.06 hrs per resident per day
Weekend Nurse Staffing
4.26 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
48.2%
Registered Nurse Turnover
25%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
2
Substantiated Complaints
1
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Cuyuna Regional Medical Center's NPI number?

The NPI number for Cuyuna Regional Medical Center is 1861414518. It was assigned to this organization in the NPPES registry on July 24, 2006. The provider is doing business as Longville Lakes Clinic.

Where is Cuyuna Regional Medical Center located?

Cuyuna Regional Medical Center is located at 180 Jordan Lane, Longville, MN 56655. The listed phone number is (218) 363-3300.

What is Cuyuna Regional Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cuyuna Regional Medical Center enrolled in Medicare?

Yes. Cuyuna Regional Medical Center is registered in the Medicare PECOS enrollment system.

When is Cuyuna Regional Medical Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Minnesota, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Cuyuna Regional Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 223 clinicians in 31 Medicare specialties reassign their Medicare billing to Cuyuna Regional Medical Center. 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 (36), Certified Registered Nurse Anesthetist (CRNA) (27) and Emergency Medicine (27). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cuyuna Regional Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D0709280) is associated with this NPI, valid through May 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Cuyuna Regional Medical Center a Medicare-certified nursing home?

Yes. Cuyuna Regional Medical Center is a Medicare-certified nursing home with 54 certified beds.

What quality rating does Cuyuna Regional Medical Center have?

CMS rates Cuyuna Regional Medical Center 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Cuyuna Regional Medical Center was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.