NPIMap

St Josephs Medical Center

A Medicare group practice based in Brainerd, MN: 16 NPIs enrolled under one PECOS associate control ID (PAC ID 8224948443), with 361 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8224948443The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Diagnostic Testing Facility (Idtf)
Enrolled in
MN, MT
Enrollments
4
Group size
238 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
55In 22 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20030702000029 MN Part A Provider - Hospital 1568415974
O20031119000468 MN Part B Supplier - Clinic/Group Practice 1568415974
O20230117002220 MT Part B Supplier - Clinic/Group Practice 1568415974
O20190312001814 MN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1639648348

NPIs in this group 16

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 361

Page 1 of 4

Clinicians who reassign their Medicare benefits to this group (361) or whom Care Compare lists as members (238).

Sources for this page