ESSENTIA HEALTH LISBON CLINIC
NPI 1043490790
Family Medicine in Lisbon, ND
About Essentia Health Lisbon Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESSENTIA HEALTH LISBON CLINIC (NPI 1043490790) is a healthcare organization registered as a family medicine in Lisbon, North Dakota and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Alan Hurley, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Essentia Health Lisbon Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
614Medicare enrollment records show 614 clinicians reassign Medicare billing to Essentia Health Lisbon Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 60
Nearest to this location (20)
See all 614Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 35D0408217
Essentia Health Lisbon · Lisbon, NDFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Innovis Health, LLC.'s NPI number?
The NPI number for Innovis Health, LLC. is 1043490790. It was assigned to this organization in the NPPES registry on November 10, 2007. The provider is doing business as Essentia Health Lisbon Clinic.
Where is Innovis Health, LLC. located?
Innovis Health, LLC. is located at 819 Main St, Lisbon, ND 58054. The listed phone number is (701) 683-4134.
What is Innovis Health, LLC.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Innovis Health, LLC. enrolled in Medicare?
Yes. Innovis Health, LLC. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Innovis Health, LLC.?
According to the CMS Revalidation Reassignment List (October 2026 release), 614 clinicians in 60 Medicare specialties reassign their Medicare billing to Innovis Health, LLC.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (170), Certified Registered Nurse Anesthetist (CRNA) (48) and Hospitalist (36). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Innovis Health, LLC. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 35D0408217) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Innovis Health, LLC. accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Innovis Health, LLC. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Innovis Health, LLC. was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Essentia Health Lisbon Clinic · NPI 1043490790
Family Medicine organization in Lisbon, North Dakota. Organization record, active in the CMS NPPES registry since November 10, 2007.
## Identity
- **NPI:** 1043490790 (Entity type: Organization)
- **Enumerated:** November 10, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Innovis Health, Llc.
- **Organization subpart:** Yes (part of Essentia Health)
- **Authorized official:** Alan Hurley, COO
## Practice location
- **Address:** 819 MAIN ST, Lisbon, ND 58054-4244
- **Phone:** (701) 683-4134 · **Fax:** (701) 683-4094
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 614 clinicians in 60 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (170), Certified Registered Nurse Anesthetist (CRNA) (48), Hospitalist (36); 2 practice at this address and 3 within 10 miles; [full list](https://npiprofile.com/npi/1043490790/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2024
- **Other identifiers:** Medicaid 716483300 (MN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043490790) · Data from the CMS NPPES public registry.