ESSENTIA HEALTH MID DAKOTA BISMARCK 9TH ST CLINIC
NPI 1053039032
Clinic/Center - Multi-Specialty in Bismarck, ND

Active since August 16, 2022CLIA Certified · 2 labs
401 N 9TH ST, BISMARCK, ND 58501(701) 712-4500 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 23, 2023, Sep 22, 2022, Aug 17, 2022 (3 updates tracked since 2022).

About Essentia Health Mid Dakota Bismarck 9th St Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESSENTIA HEALTH MID DAKOTA BISMARCK 9TH ST CLINIC (NPI 1053039032) is a healthcare organization registered as a multi-specialty in Bismarck, North Dakota and active in the NPI registry since August 2022. The organization holds 2 active CLIA laboratory certificates and lists Alan Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1053039032
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameINNOVIS HEALTH, LLC
Location Address401 N 9TH STBismarck, ND 58501-4530
Mailing Address1702 University Dr S, Atn: Med Staff Services-sscFargo, ND 58103-4940
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan HurleyCoo · (701) 364-7667
Enumeration DateAugust 16, 2022
Last NPPES UpdateMarch 1, 20243 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1053039032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
401 N 9TH ST, Bismarck, ND 58501

Other Names 1

Doing Business AsEssentia Health Mid Dakota Bismarck 9th St Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Mid Dakota Bismarck 9th St Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

614

Medicare enrollment records show 614 clinicians reassign Medicare billing to Essentia Health Mid Dakota Bismarck 9th St Clinic, which bills Medicare for the services they deliver. Of these, 32 practice at this address and 52 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 60

Nurse Practitioner170
Certified Registered Nurse Anesthetist (CRNA)48
Hospitalist36
Family Practice28
Physical Therapist in Private Practice25
Obstetrics/Gynecology22
Pediatric Medicine20
Emergency Medicine19
52 other specialties246

Nearest to this location (20)

See all 614
Endocrinology
NPI 1720025034
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1083694269
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164172144
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4501
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1457399644
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1437445442
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1912102450
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ Accepts MedicareSame address
Internal Medicine
NPI 1235177577
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1649583006
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1346856002
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ Accepts MedicareSame address
Podiatry
NPI 1407111321
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4540
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1184801045
401 N 9TH ST
Bismarck, ND 58501
(701) 157-4500
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568877827
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1396763975
401 N 9TH ST
Bismarck, ND 58501
(701) 530-6000
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1346478500
401 N 9TH ST
Bismarck, ND 58501
(701) 530-6000
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1568616670
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1548297302
401 N 9TH ST
Bismarck, ND 58501
(701) 530-6000
✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1437314473
401 N 9TH ST
Bismarck, ND 58501
(701) 530-5952
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1841447166
401 N 9TH ST.
Bismark, ND 58501
(701) 530-6000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1275607509
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4251
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1972623577
401 N 9TH ST
Bismarck, ND 58501
(017) 124-5007
✔ PECOS✔ Accepts MedicareSame address
See all 614 clinicians

Source: 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 2

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 Accreditation 35D1045420

Essentia Health Mid-Dakota Bismarck 9th St Clini · Bismarck, ND
Active · expires Oct 30, 2027
CLIA Number35D1045420
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorJulie Marsh
Laboratory Phone(701) 712-4500
Laboratory LocationEssentia Health Mid-Dakota Bismarck 9th St Clini401 N 9th St, Bismarck, ND 58501
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 35D0655599

Innovis Health - South Univ Dba Essentia Health · Fargo, ND
Active · expires Feb 16, 2028
CLIA Number35D0655599
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorDr. Thomas C. Ortmeier
Laboratory Phone(701) 364-3435
Laboratory LocationInnovis Health - South Univ Dba Essentia Health3rd Floor Blue 1702 S University Drive, Fargo, ND 58103
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently 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 1053039032. It was assigned to this organization in the NPPES registry on August 16, 2022. The provider is doing business as Essentia Health Mid Dakota Bismarck 9th St Clinic.

Where is Innovis Health, LLC located?

Innovis Health, LLC is located at 401 N 9th St, Bismarck, ND 58501. The listed phone number is (701) 712-4500.

What is Innovis Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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, 32 practice at this address and 52 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Innovis Health, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.