Headwaters Health PC
NPI 1821976903 · Family Medicine Physician · Fosston, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Headwaters Health PC is a Family Medicine Physician organization in Fosston, MN (NPI 1821976903).
Provider details
- NPI number
- 1821976903
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheryl White, MD(218) 435-1111
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 104 Kaiser Ave NFosston, MN 56542-1225Phone: (218) 435-1111
Registry dates
- Enumerated
- 2025-08-26
- Last updated
- 2025-11-11
- Certified
- 2025-11-11
Frequently asked questions
- What is Headwaters Health PC's NPI number?
- Headwaters Health PC's National Provider Identifier (NPI) is 1821976903, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Headwaters Health PC?
- Headwaters Health PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Headwaters Health PC located?
- Headwaters Health PC's practice location on file with NPPES is 111 2nd St Ne, Fosston, MN 56542-1301.
- What is Headwaters Health PC's phone number?
- The practice phone number listed in the NPPES registry for Headwaters Health PC is (218) 435-1111.
- Does Headwaters Health PC accept Medicare?
- Headwaters Health PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Headwaters Health PC?
- The authorized official listed on Headwaters Health PC's NPPES record is Cheryl White, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Headwaters Health PC's NPI active?
- Yes — Headwaters Health PC's NPI (1821976903) is active in the NPPES registry as of the last update on 2025-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.