Mayo Clinic Health System-Southwest Minnesota Region
Organization Active NPI Multi-Specialty Clinic/Center · New Prague, MN
NPI 1477089407 · NPPES record last updated Apr 16, 2026
Key facts
- NPI
- 1477089407
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION
- Practice address
- 301 2ND St NE
New Prague, MN 56071-1709 - Phone
- (952) 758-4431
- NPI assigned
- May 11, 2017
- Organization subpart
- No
Authorized official
- Name
- Morris Miller
- Title
- Cfo
- Phone
- (952) 758-4431
Other NPIs on the same Medicare enrollment 2
Practitioners 336
-
Daniel A Adamo, M.D.
-
Shantosh Adhikari Sharma, M.D.
-
Timothy R Aksamit, M.D.
-
Michael Albosta, MD
-
Jeffrey A Alexander, M.D.
-
Asma Ali, MBBS
-
Nadar Abdi Ali, MD
-
Mohamad Adnan Alkhouli, M.D.
-
Jason H Anderson, MD
-
Tara Lynn Anderson, M.D.
-
Gokhan Anil, MD
-
Amindra S Arora, MBBCHIR
-
Mark John Austin, MD
-
Trina Justine Baker, PA-C
-
Carrie Ann Balster, NURSE PRACTITIONER
-
Philippe R Bauer, M.D.
-
Sarah Catherine Baumgarten, MD, PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in MN, AZ, WI, FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031110000134 | MN | Part B Supplier - Clinic/Group Practice | 4688585771 |
Receives reassigned benefits from 1,691 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mankato, MN; New Prague, MN; Rochester, MN; Saint Peter, MN; Springfield, MN; St Peter, MN; Waseca, MN; Madelia, MN… |
| O20170609001059 | AZ | Part B Supplier - Clinic/Group Practice | 4688585771 |
Receives reassigned benefits from 8 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Phoenix, AZ; Scottsdale, AZ |
| O20171130002270 | WI | Part B Supplier - Clinic/Group Practice | 4688585771 |
Receives reassigned benefits from 45 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Eau Claire, WI; La Crosse, WI |
| O20180921002286 | FL | Part B Supplier - Clinic/Group Practice | 4688585771 |
Receives reassigned benefits from 1 practitioner 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Jacksonville, FL |
National Provider Directory
Locations
101 Martin Luther King Dr
Mankato, MN 56001
Phone (507) 385-6500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
301 2ND St NE
New Prague, MN 56071-1709
Mailing address
301 2ND St NE
New Prague, MN 56071-1709
Phone (952) 758-4431
Other names
- Mayo Clinic Health System-New Prague
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Other providers in New Prague, MN
- Mala Strana Health Care LLC
- Foram Ashwin Mankodi
- John Conrad Masberg
- McKenzie Rae Masberg
- Mayo Clinic Health System-Southwest Minnesota Region
- Mayo Clinic Health System-Southwest Minnesota Region
- Mayo Clinic Health System-Southwest Minnesota Region
- Jennifer Ann McDonald
- Carmelle A McHarg
- Renee Ann McNeill
All providers in New Prague, MN · Multi-Specialty Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.