Headwaters Health PC - Medicare Primary Care in Fosston, MN

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Headwaters Health PC is a medicare enrolled primary clinic (Family Medicine) in Fosston, Minnesota. The current practice location for Headwaters Health PC is 111 2nd St Ne, Fosston, Minnesota. For appointments, you can reach them via phone at (218) 435-1111. The mailing address for Headwaters Health PC is 111 2nd St Ne, Fosston, Minnesota and phone number is (218) 435-1111.

Headwaters Health PC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1821976903. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (218) 435-1111.

Contact Information

Headwaters Health PC
111 2nd St Ne
Fosston
MN 56542-1301
(218) 435-1111
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameHeadwaters Health PC
SpecialityFamily Medicine
Location111 2nd St Ne, Fosston, Minnesota
Authorized Official Name and PositionCheryl White (MD)
Authorized Official Contact2184351111
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Headwaters Health PC
111 2nd St Ne
Fosston
MN 56542-1301

Ph: (218) 435-1111		Headwaters Health PC
111 2nd St Ne
Fosston
MN 56542-1301

Ph: (218) 435-1111

NPI Details:

NPI Number1821976903
Provider Enumeration Date08/26/2025
Last Update Date11/11/2025
Certification Date11/11/2025

Medicare PECOS Information:

Medicare PECOS PAC ID0143718304
Medicare Enrollment IDO20251021002430

Medical Identifiers

Medical identifiers for Headwaters Health PC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821976903NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Headwaters Health PC acts as a billing entity for following providers:
Provider NameDarren D Swanson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912942566
PECOS PAC ID: 9739260456
Enrollment ID: I20080118000300
Provider NameNicole M Kiesow
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1356502769
PECOS PAC ID: 6800957986
Enrollment ID: I20081208000411
Provider NameMaija L Duppong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053555797
PECOS PAC ID: 5698825131
Enrollment ID: I20090604000240
Provider NameCheryl L White
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457791725
PECOS PAC ID: 3870881535
Enrollment ID: I20161012001126
Provider NameBryan M Johnson
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1477106714
PECOS PAC ID: 9638400898
Enrollment ID: I20210517002409
Provider NameSheila K Teiken
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124730726
PECOS PAC ID: 4880065093
Enrollment ID: I20230126001952
Provider NameRhonda Lee Breitbach
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770729659
PECOS PAC ID: 9436202587
Enrollment ID: I20230907003729
Provider NameVickie M Anderson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164984647
PECOS PAC ID: 5991154577
Enrollment ID: I20240112003966
Provider NameCarlie J Pletschett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790581791
PECOS PAC ID: 8426558099
Enrollment ID: I20250827000083
Provider NameJacob Arthur Vossler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538588579
PECOS PAC ID: 8921593732
Enrollment ID: I20251219000014

Reviews and Comments

Other Primary Care Clinics in Fosston, MN

Dakota Clinic, Ltd. - Fosston
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 102 Sather Dr, Fosston, MN 56542
Phone: 218-435-1212    Fax: 218-435-1302

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.