Mahnomen Health Center
A Medicare group practice based in Mahnomen, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3375546112), with 31 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3375546112
- Provider type
- Part A Provider - Rural Emergency Hospital (Reh), Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MN
- Enrollments
- 3
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20060816000210 | MN | Part B Supplier - Clinic/Group Practice | 1942233234 |
| O20060821000170 | MN | Part A Provider - Skilled Nursing Facility | 1710912787 |
| O20240209000489 | MN | Part A Provider - Rural Emergency Hospital (Reh) | 1942233234 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Mahnomen Health Center
- Skilled Nursing Facility
- Mahnomen, MN
- NPI 1710912787
-
Mahnomen Health Center
- Rural Acute Care Hospital
- Mahnomen, MN
- NPI 1942233234
Practice locations
- Mahnomen, MN3
Clinicians 31
Clinicians who reassign their Medicare benefits to this group (31) or whom Care Compare lists as members (4).
-
Joeanna L Aasen, APRN, CNP, DNP
- Family Nurse Practitioner
- Minneapolis, MN
- NPI 1154617256
-
Ryan Ahlgren, NP
- Physician Assistant
- Saint Paul, MN
- NPI 1922776129
-
Jeffrey B Andersen, MD
- Family Medicine Physician
- Fargo, ND
- NPI 1184701856
-
James Ballantine Brown Jr., MD
- Family Medicine Physician
- Spooner, WI
- NPI 1336191030
-
Elmer D Calica, M.D.
- Emergency Medicine Physician
- Cass City, MI
- NPI 1932392438
-
Elizabeth Marie Engum, CNP
- Family Nurse Practitioner
- Mahnomen, MN
- NPI 1649755166
-
Nicolai Alan Esala, D.O.
- Sports Medicine (Family Medicine) Physician
- Woodbury, MN
- NPI 1922238245
-
Emad M Fahmy, MD
- Emergency Medicine Physician
- Dyersville, IA
- NPI 1699724930
-
Merit FL Fondong, NP
- Psychiatric/Mental Health Nurse Practitioner
- East Grand Forks, MN
- NPI 1306221460
-
Andrew V Gasparini, MD
- Family Medicine Physician
- Grand Forks, ND
- NPI 1700011459
-
Kimberly J Haycraft Schmotter, MD
- Family Medicine Physician
- Cambridge, MN
- NPI 1306800107
-
Gordon D Kaplan, MD
- Family Medicine Physician
- Milbank, SD
- NPI 1588606735
-
Aaron G Kidd, PA-C
- Physician Assistant
- Clarksville, TN
- NPI 1437121688
-
Kelsey Ann Krueger, PA
- Physician Assistant
- Fargo, ND
- NPI 1417695677
-
Jon D Larson, MD
- Family Medicine Physician
- Detroit Lakes, MN
- NPI 1508884172
-
Fritz Leidig, M.D.
- Emergency Medicine Physician
- Hanford, CA
- NPI 1871533851
-
Karin Ann Lokensgard Pierce, M.D.
- Family Medicine Physician
- Grand Forks, ND
- NPI 1942425384
-
Kevin Tim Marble, MD
- Emergency Medicine Physician
- Duluth, MN
- NPI 1891733127
-
Ashley Marie Neis, PT, DPT
- Physical Therapist
- Mahnomen, MN
- NPI 1144711276
-
Tawnia Ann Netland, APRN CNP
- Family Nurse Practitioner
- Mahnomen, MN
- NPI 1477702645
-
Dawn Michelle Page, NP
- Family Nurse Practitioner
- Grand Forks, ND
- NPI 1124557103
-
Ram Prasad Paneru, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Bagley, MN
- NPI 1740457902
-
Roxanee E Pierre, MD
- Family Medicine Physician
- St Anthony, MN
- NPI 1225292964
-
Richard Pretorius, MD, MPH
- Family Medicine Physician
- Irving, NY
- NPI 1013900505
-
Jordan James Reese, CNP
- Family Nurse Practitioner
- Detroit Lakes, MN
- NPI 1194215830
-
Talitha M. Sannes-Venhuizen, M.D.
- Family Medicine Physician
- Fargo, ND
- NPI 1306887286
-
Lauren Secrist
- Physician Assistant
- Saint Paul, MN
- NPI 1447601984
-
Shane Skeim, FNP-C
- Family Nurse Practitioner
- Warren, MN
- NPI 1851848998
-
Nancy J Stock, NP
- Nurse Practitioner
- Twin Valley, MN
- NPI 1144248212
-
Stephen Monroe Turner, D.O.
- Family Medicine Physician
- Deer River, MN
- NPI 1326238338
-
Courtney Wade Whitney, D.O.
- Sleep Medicine (Internal Medicine) Physician
- Plymouth, MN
- NPI 1861461329
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.