NPIMap

Organization Active NPI

Mayo Clinic Health System-St James

  • Critical Access Hospital
  • Saint James, MN
National Provider Identifier
1639198732
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
330835 Issued in MN
Legal business name
MAYO CLINIC HEALTH SYSTEM-ST JAMES
Practice address
1101 Moulton and Parsons Dr
Saint James, MN 56081-5550
Phone
(507) 375-3261
Fax
(507) 375-8600
NPI assigned
Jul 19, 2006
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Morris Miller
Title
Cfo
Phone
(507) 594-6449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 330835 MN Primary

Addresses

Primary practice location

1101 Moulton and Parsons Dr
Saint James, MN 56081-5550

Mailing address

1101 Moulton and Parsons Dr
Saint James, MN 56081-5550
Phone (507) 375-3261

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080108000344 MN Part A Provider - Critical Access Hospital 9537170352 Receives reassigned benefits from 426 practitioners
Practice locations: Saint James, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639198732. Details of each certification follow.

Hospital certification: CCN 241333

Legal name
MAYO CLINIC HEALTH SYSTEM-ST JAMES
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 2002
Last certification
Jan 17, 2019
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1101 Moulton and Parsons Dr
Saint James, MN 56081-5550
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Mayo Clinic Health System St. JamesCCN 241333 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Watonwan Memorial Hospi3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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 14

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

NameRoleSinceShare
Nidia Zelaya Individual Corporate DirectorBoard Member Apr 1, 2022
Travis Elg Individual Corporate DirectorBoard Member Aug 20, 2025
Karthik Ghosh Individual Corporate OfficerPresident & Chair Jan 6, 2025
Jennifer Marie Langbehn Individual Corporate DirectorBoard Member Nov 1, 2023
Travis Paul Individual Corporate OfficerCao & Secretary Nov 1, 2021
Jessica Nowicki Individual Corporate DirectorBoard Member Feb 21, 2024
Mayo Clinic Health System-Southwest Minnesota Region Organization, Mankato, MN Corporation, Non-profit, Chain home office Operational/Managerial Control Jan 1, 2008
Karen V Carlson Individual Corporate DirectorBoard Member Feb 25, 2026
W-2 Managing EmployeeManager Feb 25, 2026
Mayo Clinic Organization, Rochester, MN Corporation, Non-profit Operational/Managerial Control Jan 1, 2010
Jason H Planas Individual Corporate DirectorBoard Member Feb 25, 2026
Patricia Branstad Individual Corporate DirectorBoard Member Jan 1, 2021
Liam Dawson Individual Corporate DirectorBoard Member Aug 20, 2025
Morris Miller Individual Corporate OfficerTreasurer & Cfo Jul 1, 2023
Christopher Howard Hasse Individual Corporate OfficerAssistant Secretary Jul 27, 2022

Owners & managing parties with NPI records 14

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

View all 14

Facilities with the same owner 38

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

View all 38

Practitioners & affiliated clinicians

Practitioners 437

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.

View all 437

Affiliated clinicians 147

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

View all 147

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1639198732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MOULTON AND PARSONS DR",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560815550",
            "telephone_number": "507-375-3261",
            "fax_number": "507-375-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MOULTON AND PARSONS DR",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560815550",
            "telephone_number": "507-375-3261",
            "fax_number": "507-375-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO CLINIC HEALTH SYSTEM-ST JAMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "507-594-6449"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MN",
            "license": "330835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint James, MN

Sources for this page

Verify at the official NPI Registry.