Sanford Thief River Falls – Family Medicine Physician, NPI 1144401514
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Sanford Thief River Falls
929 Central Ave NW
East Grand Forks, MN 567211917
Phone: (218) 773-6800
Fax: (218) 773-6861
Type: Location
PO BOX 2074
SIOUX FALLS, SD 571012074
Phone: (605) 328-6585
Type: Mailing
Sanford Thief River Falls Medical Center, 3001, Sanford Parkway, Thief River Falls, Pennington County, Minnesota, 56701, United States
THIEF RIVER FALLS, MN 567012700
Phone: (218) 681-4747
Fax: (218) 683-2595
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (833 days ago).
Enrollment records
1
Earliest due date
2024-02-29
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20180205002429 | O | Clinic/Group Practice | MN | 2024-02-29 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56721)
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