Active NPI
David Scott Anderson, MD
- Emergency Medicine Physician
- Cloquet, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 51654
- Practice address
- 512 Skyline Blvd Ste 1
Cloquet, MN 55720-1199 - Phone
- (218) 879-4641
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dialysis Equipment & Supplies (DME)
- Cloquet, MN
- NPI 1528103652
-
- Medicare Defined Swing Bed Hospital Unit
- Cloquet, MN
- NPI 1255496188
-
- Home Health Agency
- Grand Rapids, MN
- NPI 1558435131
-
- Community/Retail Pharmacy
- Aitkin, MN
- NPI 1497377287
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Rapids, MN
- NPI 1669426631
Hospital
-
- Critical Access Hospital
- Cloquet, MN
- NPI 1003869082
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grand Itasca Clinic and HospitalCommunity Memorial Hospital Association
Practice addresses (Care Compare)
1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401
512 Skyline Blvd
Cloquet, MN 55720-3787
Phone (218) 879-4641
Hospital & facility affiliations
- Community Memorial Hospital
- Grand Itasca Clinic and Hospital
- Riverwood Healthcare Center
- North Memorial Health Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090409000353 | MN | Practitioner - Family Practice | 8921199043 | Reassigns benefits to 10 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51654 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Hospital Association | Current | Accepting new patients | |
| Aitkin Community Hospital, Inc. | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Aitkin Community Hospital, Inc. | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Community Memorial Hospital Association | Past | Accepting new patients |
Locations
7892 Solutions Ctr
Chicago, IL 60677
200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
512 Skyline Blvd
Ste 1
Cloquet, MN 55720
Phone (218) 879-4641
512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
290 Main St NW
Ste 100
Elk River, MN 55330
Phone (763) 241-0373
111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401
1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401
815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441
811 2nd St SE
Little Falls, MN 56345
Phone (320) 631-7000
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
6320 Wedgwood Rd N
Osseo, MN 55311
Phone (763) 268-0400
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
919 Northland Dr
Princeton, MN 55371
Phone (763) 389-3344
Interoperability endpoints
- danderson4525@fairview.direct-ci.com
- hisdept@direct.cloquethospital.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 51654 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
512 Skyline Blvd Ste 1
Cloquet, MN 55720-1199
Mailing address
512 Skyline Blvd Ste 1
Cloquet, MN 55720-1199
Phone (218) 879-4641
Other practice location 1
290 Main St NW
Suite 100
Elk River, MN 55330-1270
Phone (763) 241-0373
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hisdept@direct.cloquethospital.com |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2025.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1124249743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 SKYLINE BLVD STE 1",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557201199",
"telephone_number": "218-879-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 SKYLINE BLVD STE 1",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557201199",
"telephone_number": "218-879-4641"
}
],
"practiceLocations": [
{
"address_1": "290 Main St NW",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Elk River",
"state": "MN",
"postal_code": "553301270",
"country_code": "US",
"telephone_number": "763-241-0373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "DAVID",
"middle_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "51654",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hisdept@direct.cloquethospital.com",
"affiliation": "N",
"address_1": "512 Skyline Blvd Ste 1",
"city": "Cloquet",
"state": "MN",
"country_code": "US",
"postal_code": "557201199",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.