NPIMap

Organization Active NPI

Knute Nelson

  • Skilled Nursing Facility
  • Alexandria, MN
National Provider Identifier
1689649790
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0026257 Issued in MN
Legal business name
KNUTE NELSON
Practice address
420 12TH Ave E
Alexandria, MN 56308-2612
Phone
(320) 763-6653
Fax
(320) 763-7548
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Mrs. Marnie Marie Gugisberg
Title
Sr. VP/Cfo
Phone
(320) 763-1164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0026257 MN Primary

Addresses

Primary practice location

420 12TH Ave E
Alexandria, MN 56308-2612

Mailing address

2209 Jefferson St Ste 201
Alexandria, MN 56308-2848
Phone (320) 763-6653

Other identifiers 2

IdentifierTypeStateIssuer
178540100MedicaidMN
9701KNOtherMNBLUE CROSS BLUE SHIELD

Other names 1

  • KNUTE NELSON CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928001296 MN Part A Provider - Skilled Nursing Facility 8123097904 Practice locations: Alexandria, MN

Skilled nursing facility certification: CCN 245435

Legal name
KNUTE NELSON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1987
Last certification
Mar 5, 2025
Beds
83
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Vivie
Organization structure
CorporationNon-profit
Incorporated
Feb 14, 1969 in MN
Enrollment address
420 12TH Ave E
Alexandria, MN 56308-2612
Nursing home name
KNUTE NELSON CARE CENTER
Affiliated entity
VIVIE

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: Nursing home

Medicare Care Compare
Listed as
Knute Nelson Care CenterCCN 245435
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 1, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8364.5 residents per day on average
Chain
Vivie5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Knute Nelson3 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.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Greg Billberg Individual Corporate DirectorDirector Mar 1, 2022
Angela Mae Urman Individual Corporate OfficerChief Clinical Officer Nov 16, 2010
W-2 Managing Employee Nov 16, 2010
Pamela Ann Carlson Individual Corporate DirectorDirector Feb 15, 2017
Katie Perry Individual Corporate OfficerChief Operating Officer Feb 1, 2023
W-2 Managing Employee Jul 24, 2006
Vicki Jodsaas Individual Corporate DirectorDirector Mar 1, 2021
Jeff Montgomery Individual Corporate Director Feb 15, 2018
Chad Coauette Individual Corporate DirectorVice Chair Feb 15, 2017
Fred Semmer Individual Corporate OfficerTreasurer Jan 1, 2024
Sara O'Kane Individual Corporate DirectorDirector Mar 1, 2023
Deena Lynne Steffl Individual Corporate DirectorDirector Feb 15, 2016
Vivie Organization, Alexandria, MN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2024 100%
Julie Critz Individual Corporate DirectorDirector Mar 1, 2020
Mark Robert Anderson Individual Corporate OfficerCeo Aug 1, 2004 100%
W-2 Managing EmployeeCeo Aug 1, 2004 100%
Phillip Hanson Individual Corporate OfficerChair Jan 1, 2024
Marnie Marie Gugisberg Individual Corporate OfficerCfo Jul 11, 2005
W-2 Managing EmployeeCfo Jul 11, 2005
David Steven Wolf Individual Corporate OfficerPast Chair Feb 15, 2015

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Glenwood Village Care Center IncGlenwood, MN, CCN 245402 Skilled nursing facility Operational/Managerial Control (100%) Oct 10, 2022
Hubbard County Heritage Living CenterPark Rapids, MN, CCN 245405 Skilled nursing facility Operational/Managerial Control (100%) Sep 1, 2023
Pelican Valley Health CenterPelican Rapids, MN, CCN 245373 Skilled nursing facility Operational/Managerial Control (100%) Oct 1, 2018
Ethos Home HealthFargo, ND, CCN 357302 Home health agency Operational/Managerial Control Jun 30, 2018
Ethos HospiceFargo, ND, CCN 351517 Hospice Operational/Managerial Control Jun 30, 2018

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 8

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": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1689649790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 JEFFERSON ST STE 201",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082848",
            "telephone_number": "320-763-6653",
            "fax_number": "320-763-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 12TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082612",
            "telephone_number": "320-763-6653",
            "fax_number": "320-763-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNUTE NELSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "GUGISBERG",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SR. VP/CFO",
        "authorized_official_telephone_number": "320-763-1164",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "0026257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178540100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9701KN",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KNUTE NELSON CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.