Mayo Clinic Health System-Southeast Minnesota Region
Organization Active NPI Multi-Specialty Clinic/Center · Albert Lea, MN
NPI 1891701637 · NPPES record last updated Apr 16, 2026
Key facts
- NPI
- 1891701637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
- Practice address
- 404 W Fountain St
Albert Lea, MN 56007-2437 - Phone
- (507) 373-2384
- NPI assigned
- Aug 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Morris Miller
- Title
- Cfo
- Phone
- (507) 594-6449
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 8
Member of 1
Practitioners 1,738
-
Shada Ahrar, MD
-
Timothy R Aksamit, M.D.
-
Robert C Albright Jr., D.O.
-
Jonathan D Alleckson, CRNA
-
Nandan S Anavekar, MBBCH
-
Nicole Kathryn Anderson, CRNA
-
Trent D Anderson, D.O.
-
Gokhan Anil, MD
-
Samuel J Asirvatham, M.D.
-
John W Askew III, M.D.
-
Ivor Asztalos, MD
-
Ross Anthony Avant, M.D.
-
David W Bahl, MD
-
Jennifer Rose Bailey, PHD
-
Lee Joseph Bakewell, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in MN, IA, WI, AZ, FL
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Mayo Clinic Health System-Lake City |
Hospital | Operational/Managerial Control | Jan 1, 2019 |
| Mayo Clinic Health System-Lake City |
Hospital | Operational/Managerial Control | Jan 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031104000408 | MN | Part B Supplier - Clinic/Group Practice | 4385556703 |
Receives reassigned benefits from 1,706 practitioners 4 other NPIs on this enrollment Practice locations: Owatonna, MN; Faribault, MN; Northfield, MN; New Richland, MN; Le Roy, MN; Lake City, MN; Hayfield, MN; Grand Meadow, MN… |
| O20040402001167 | IA | Part B Supplier - Clinic/Group Practice | 4385556703 |
Receives reassigned benefits from 8 practitioners 1 other NPI on this enrollment Practice locations: Lake Mills, IA; Northwood, IA |
| O20171120000204 | WI | Part B Supplier - Clinic/Group Practice | 4385556703 |
Receives reassigned benefits from 65 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: La Crosse, WI; Ellsworth, WI; Eau Claire, WI |
| O20181001002845 | AZ | Part B Supplier - Clinic/Group Practice | 4385556703 |
Receives reassigned benefits from 1 practitioner 3 other NPIs on this enrollment Practice locations: Phoenix, AZ; Scottsdale, AZ |
| O20181105001369 | FL | Part B Supplier - Clinic/Group Practice | 4385556703 |
Receives reassigned benefits from 1 practitioner 3 other NPIs on this enrollment Practice locations: Jacksonville, FL |
National Provider Directory
Locations
406 S 10th Ave E
Lake Mills, IA 50450
Phone (641) 592-4900
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
2250 NW 26th St
Owatonna, MN 55060
Phone (507) 451-3850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
404 W Fountain St
Albert Lea, MN 56007-2437
Mailing address
1000 1St Dr NW
Austin, MN 55912-2941
Phone (507) 433-7351
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136C4 | Other | MN | VA |
| CD5413 | Other | MN | MCRR |
| 538K1AL | Other | MN | BCBS |
| 0512244 | Other | IA | IA MA |
| P375 | Other | MN | UCARE |
| CB3783 | Other | MCRR | |
| CD7991 | Other | IA | MCRR |
Other names
- Mayo Clinic Health System-Albert Lea and Austin
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him_mn1405423@ehrdirect.mayoclinicmsg.org | ||
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Albert Lea, MN
- Richard E Mayerchak
- Mayo Clinic Health System-Southeast Minnesota Region
- Mayo Clinic Health System-Southeast Minnesota Region
- Mayo Clinic Health System-Southeast Minnesota Region
- Mayo Clinic Health System-Southeast Minnesota Region
- Mayo Clinic Health System-Southeast Minnesota Region
- Mayo Clinic Hospital-Rochester
- Mayo Foundation for Medical Education & Research
- Craig Manwell McCormick
- Barbara Jo Meek-Thue
All providers in Albert Lea, 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.