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BOIS FORTE RESERVATION TRIBAL GOVERNMENT
NPI 1972666469
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Nett Lake, MN

Active since December 18, 2006
5219 ST JOHN DR, NETT LAKE, MN 55772(218) 757-3650(218) 757-0234 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 4, 2024, May 16, 2018, Nov 9, 2016 (3 updates tracked since 2016).

About Bois Forte Reservation Tribal Government NPPES

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

BOIS FORTE RESERVATION TRIBAL GOVERNMENT (NPI 1972666469), doing business as Bois Forte Medical Clinic Pharmacy, is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Nett Lake, Minnesota and active in the NPI registry since December 2006. The organization lists Christie Swanson, Prc And Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1972666469
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameBOIS FORTE RESERVATION TRIBAL GOVERNMENT
Location Address5219 ST JOHN DRNett Lake, MN 55772
Mailing Address5219 Saint John DrOrr, MN 55771-8232 · (218) 757-3650 · Fax (218) 757-0234
Phone(218) 757-3650
Fax(218) 757-0234
Organization SubpartYes
Authorized OfficialChristie SwansonPrc And Billing Specialist · (218) 757-3650
Enumeration DateDecember 18, 2006
Last NPPES UpdateFebruary 25, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1972666469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X · License 261489-2 (MN)
5219 ST JOHN DR, Nett Lake, MN 55772
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Other Names 1

Doing Business AsBois Forte Medical Clinic Pharmacy

Other Identifiers 3

Other0104492MN · Medica
Medicaid177515400MN
Other63G35BOMN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and more.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)

Bois Forte Reservation Tribal Government is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Bois Forte Reservation Tribal Government, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Brandon Anderson, RN, CNP
Nurse Practitioner
NPI 1225536592
5219 SAINT JOHN DR
Orr, MN 55771
(218) 757-3650
✔ PECOS✔ Accepts MedicareSame address
William Durie, MD
Family Practice
NPI 1528096195
5219 SAINT JOHN DR
Orr, MN 55771
(218) 757-3650
✔ PECOS✔ Accepts MedicareSame address
Paul Rasmussen, RN, CNP
Nurse Practitioner
NPI 1285153007
5219 SAINT JOHN DR
Orr, MN 55771
(218) 757-3650
✔ PECOS✔ Accepts MedicareSame address
Crystal Lobe, CFNP
Nurse Practitioner
NPI 1174834709
5219 SAINT JOHN DR
Orr, MN 55771
(218) 757-3431
✔ PECOS✔ Accepts MedicareSame address
Shanna Vidor, M.D.
Family Practice
NPI 1215229729
5219 ST JOHN DRIVE
Nett Lake, MN 55772
(218) 757-3295
✔ PECOS✔ Accepts Medicare0.1 mi
Wendy Long
Nurse Practitioner
NPI 1689873598
1101 9TH ST N
Virginia, MN 55792
(218) 741-0150
✔ PECOS✔ Accepts Medicare47 mi
Andrea Simek, APRN, CNP
Nurse Practitioner
NPI 1316252810
901 9TH STREET NORTH ESSENTIA HEALTH VIRGINIA MEDICAL ARTS CLINIC
Virginia, MN 55792
(218) 748-7750
✔ PECOS✔ Accepts Medicare47 mi
Kevin Schulte
Physical Therapist in Private Practice
NPI 1194816967
1101 E 37TH ST STE 20
Hibbing, MN 55746
(218) 440-1548
✔ Accepts Medicare49 mi

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 Bois Forte Reservation Tribal Government's NPI number?

The NPI number for Bois Forte Reservation Tribal Government is 1972666469. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider is doing business as Bois Forte Medical Clinic Pharmacy.

Where is Bois Forte Reservation Tribal Government located?

Bois Forte Reservation Tribal Government is located at 5219 St John Dr, Nett Lake, MN 55772. The listed phone number is (218) 757-3650.

What is Bois Forte Reservation Tribal Government's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Is Bois Forte Reservation Tribal Government enrolled in Medicare?

Yes. Bois Forte Reservation Tribal Government is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bois Forte Reservation Tribal Government?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Bois Forte Reservation Tribal Government. 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 (5), Family Practice (2) and Physical Therapist in Private Practice (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bois Forte Reservation Tribal Government accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 41 other insurers list Bois Forte Reservation Tribal Government 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 Bois Forte Reservation Tribal Government was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.