DAKOTA REGIONAL MEDICAL CENTER
NPI 1962548214
Clinic/Center - Rural Health in Cooperstown, ND
About Dakota Regional Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAKOTA REGIONAL MEDICAL CENTER (NPI 1962548214) is a healthcare organization registered as a rural health in Cooperstown, North Dakota and active in the NPI registry since January 2007. The organization lists Kelley Shawn, Admin Assist/credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 3
Other Identifiers 2
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)
Dakota Regional Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
39Medicare enrollment records show 39 clinicians reassign Medicare billing to Dakota Regional Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 39Grand Forks, ND 58201
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Cooperstown Medical Center's NPI number?
The NPI number for Cooperstown Medical Center is 1962548214. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as Dakota Regional Medical Center, CMC Rural Health Clinic and DRMC Rural Health Clinic.
Where is Cooperstown Medical Center located?
Cooperstown Medical Center is located at 107 12th St S, Cooperstown, ND 58425. The listed phone number is (701) 786-1709.
What is Cooperstown Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Cooperstown Medical Center enrolled in Medicare?
Yes. Cooperstown Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cooperstown Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 6 Medicare specialties reassign their Medicare billing to Cooperstown 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 (17), Diagnostic Radiology (14) and Nephrology (4). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cooperstown Medical Center accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Cooperstown Medical Center 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 Cooperstown Medical Center was last updated on September 8, 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.
# Dakota Regional Medical Center · NPI 1962548214
Rural Health organization in Cooperstown, North Dakota. Organization record, active in the CMS NPPES registry since January 30, 2007.
## Identity
- **NPI:** 1962548214 (Entity type: Organization)
- **Enumerated:** January 30, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Cooperstown Medical Center
- **Also known as:** CMC Rural Health Clinic (Doing Business As); DRMC Rural Health Clinic (Doing Business As)
- **Organization subpart:** Yes (part of Cooperstown Medical Center)
- **Authorized official:** Kelley Shawn, ADMIN ASSIST/CREDENTIALING
## Practice location
- **Address:** 107 12TH ST S, Cooperstown, ND 58425-4501
- **Phone:** (701) 786-1709 · **Fax:** (701) 786-7121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 39 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (17), Diagnostic Radiology (14), Nephrology (4); 2 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1962548214/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 8, 2023
- **Other identifiers:** Other 4770 (ND); Medicaid 5000 (ND)
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Source: [NPI Profile](https://npiprofile.com/npi/1962548214) · Data from the CMS NPPES public registry.