NPIMap

Organization Active NPI

Sibley Medical Center

Doing business as Ridgeview Sibley Medical Center

  • Critical Access Hospital
  • Arlington, MN
National Provider Identifier
1740240225
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
241311 Issued in MN
Legal business name
SIBLEY MEDICAL CENTER
Doing business as
Ridgeview Sibley Medical Center
Practice address
601 West Chandler Street
Arlington, MN 55307-0620
Phone
(507) 964-2271
Fax
(507) 964-8490
NPI assigned
Mar 27, 2006
Last updated
Apr 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Michael Phelps
Title
President/Ceo
Phone
(952) 442-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 241311 MN Primary

Addresses

Primary practice location

601 West Chandler Street
Arlington, MN 55307-0620

Mailing address

601 West Chandler Street
P.O. Box 620
Arlington, MN 55307-0620
Phone (507) 964-2271

Other identifiers 1

IdentifierTypeStateIssuer
513547800MedicaidMN

Other names 1

  • Ridgeview Sibley Medical Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140203000994 MN Part A Provider - Critical Access Hospital 3870722499 Receives reassigned benefits from 2 practitioners
Practice locations: Arlington, MN
O20140418000315 MN Part B Supplier - Clinic/Group Practice 3870722499 Receives reassigned benefits from 271 practitioners
Practice locations: Arlington, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740240225. Details of each certification follow.

Hospital certification: CCN 241311

Legal name
SIBLEY MEDICAL CENTER
Doing business as
RIDGEVIEW SIBLEY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2001
Last certification
Dec 13, 2014
Beds
20
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2014 (3 total)
Organization structure
CorporationNon-profit
Enrollment address
601 W Chandler St
Arlington, MN 55307-2127

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

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Ridgeview Sibley Medical CenterCCN 241311 · 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

Member of 2

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
Sheri Kumar Individual Corporate DirectorBoard Director Jan 1, 2026
Acacia Meis Individual W-2 Managing EmployeeCredentialing Manager Jun 6, 2022
Diane Bias-Mosel Individual Corporate Director Jan 1, 2018
Kelly Pierson Individual Corporate Director Jan 1, 2024
Christopher Bielke Individual W-2 Managing EmployeeManager of Payer Strategy Jun 20, 2022
Ben C Nielsen Individual Corporate OfficerCheif Operating Officer Jun 1, 2018
W-2 Managing EmployeeCheif Operating Officer Jun 1, 2018
Michael J Phelps Individual Corporate OfficerCeo Jan 1, 2014
Jeffrey T Nelson Individual Corporate DirectorBoard Member Jan 1, 2023
Nancy Mathwig Individual Corporate DirectorBoard Member Jan 1, 2023
Bertha Woehler Individual Corporate DirectorBoard Member Jan 1, 2023
Brent K Wordelman Individual Corporate OfficerChief Financial Officer Apr 20, 2026
W-2 Managing Employee Oct 1, 2020
James Kreft Individual Corporate DirectorBoard Member Jan 1, 2023
Aaron a Bloomquist Individual Corporate OfficerCfo Oct 1, 2020
W-2 Managing Employee Oct 1, 2020
Ridgeview Medical Center Organization, Waconia, MN Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2014 100%

Owners & managing parties with NPI records 6

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

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 272

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 272

Affiliated clinicians 79

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

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1740240225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WEST CHANDLER STREET",
            "address_2": "P.O. BOX 620",
            "city": "ARLINGTON",
            "state": "MN",
            "postal_code": "553070620",
            "telephone_number": "507-964-2271",
            "fax_number": "507-964-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WEST CHANDLER STREET",
            "city": "ARLINGTON",
            "state": "MN",
            "postal_code": "553070620",
            "telephone_number": "507-964-2271",
            "fax_number": "507-964-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIBLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "952-442-2191"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MN",
            "license": "241311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "513547800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeview Sibley Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ridgeview Sibley Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, MN

Sources for this page

Verify at the official NPI Registry.