NPIMap

Organization Active NPI

Pipestone County Medical Center

Doing business as Avera@Home Pipestone

  • Community Based Hospice Care Agency
  • Pipestone, MN
National Provider Identifier
1407962335
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
330931 Issued in MN
Legal business name
PIPESTONE COUNTY MEDICAL CENTER
Doing business as
Avera@Home Pipestone
Practice address
916 4TH Ave SW
Pipestone, MN 56164-1890
Phone
(507) 825-5811
NPI assigned
Aug 22, 2006
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bradley D Burris
Title
Administrator/Ceo
Phone
(507) 825-6025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 330931 MN Primary
Inpatient Hospice 315D00000X 330931 MN

Addresses

Primary practice location

916 4TH Ave SW
Pipestone, MN 56164-1890

Mailing address

916 4TH Ave SW
Pipestone, MN 56164-1890

Other identifiers 3

IdentifierTypeStateIssuer
1048848OtherMNPREFERREDONE
207922400MedicaidMN
2U71PIOtherMNBLUE CROSS

Other names 1

  • AVERA@HOME PIPESTONE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031105000578 MN Part B Supplier - Clinic/Group Practice 0840109682 Receives reassigned benefits from 79 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Edgerton, MN; Pipestone, MN; Slayton, MN
O20060322000380 MN Part A Provider - Hospice 0840109682 Practice locations: Pipestone, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407962335. Details of each certification follow.

Hospice certification: CCN 241580

Legal name
PIPESTONE COUNTY MEDICAL CENTER
Doing business as
AVERA@HOME PIPESTONE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 9, 2006
Last certification
Aug 17, 2017
Ownership / control type
Government - County
Organization structure
OtherNon-profit
Enrollment address
916 4TH Ave SW
Pipestone, MN 56164-1890

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Avera@Home PipestoneCCN 241580 · All quality measures
Ownership
Government
Certified
May 9, 2006
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Pipestone County Medica9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Megan N Wilkinson Individual W-2 Managing EmployeeMD; Sep 1, 2022
Pipestone County Medical Center Organization, Pipestone, MN Operational/Managerial Control Dec 12, 2005
County of Pipestone Organization, Pipestone, MN 5% Or Greater Direct Ownership Interest Dec 12, 2005 100%
Bradley Burris Individual Corporate DirectorCeo Sep 26, 2006
W-2 Managing EmployeeAd; Sep 26, 2006
Sandra Schlechter Individual W-2 Managing EmployeeChief Financial Officer Jul 19, 2019
Gina Vangsness Individual W-2 Managing EmployeeBusiness Office Manager Oct 18, 2018
Betty Anderson Individual W-2 Managing EmployeeFiscal Services Manager Oct 16, 1995

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1407962335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 4TH AVE SW",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 4TH AVE SW",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641890",
            "telephone_number": "507-825-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIPESTONE COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "507-825-6025"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MN",
            "license": "330931",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "MN",
            "license": "330931",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1048848",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207922400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2U71PI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVERA@HOME PIPESTONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pipestone, MN

Sources for this page

Verify at the official NPI Registry.