MR. MITCHELL JULIUS LIKNESS PA-C
NPI 1073091757
Physician Assistant in Fargo, ND

Active since August 03, 2018PECOS EnrolledAccepts Medicare Assignment
74.19/100
CMS Quality Rating
736 BROADWAY N, FARGO, ND 58102(605) 280-0669 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2021, Jul 14, 2021, Aug 3, 2018 (3 updates tracked since 2018).

About Mr. Mitchell Julius Likness Pa-c NPPES

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

MR. MITCHELL JULIUS LIKNESS PA-C (NPI 1073091757) is an individual physician assistant in Fargo, North Dakota, licensed in Minnesota (12785) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Prairie Ridge Hospital And Health Services, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073091757
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MITCHELL JULIUS LIKNESSCredential: PA-C
Location Address736 BROADWAY NFargo, ND 58102-4421
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 3, 2018
Last NPPES UpdateAugust 17, 20213 updates tracked since enumeration
NPPES CertifiedAugust 17, 2021
NPI 1073091757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 12785
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
736 BROADWAY N, Fargo, ND 58102

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Mitchell Julius Likness Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012261373
PECOS Enrollment IDI20181126003663, I20190507002226
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
36 services31 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prairie Ridge Hospital And Health Services

Critical Access Hospitals · Elbow Lake, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241379
Location1411 Highway 79 EElbow Lake, MN 56531 · Grant County
Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.45
Promoting Interoperability99
Improvement Activities40
Cost27.37

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
736 BROADWAY N
FARGO, ND 58102
Psychiatry & Neurology (Psychiatry)
736 BROADWAY N
FARGO, ND 58102
Dietitian, Registered
736 BROADWAY N
FARGO, ND 58102
Physical Therapist (Orthopedic)
736 BROADWAY N
FARGO, ND 58102
Nurse Practitioner
736 BROADWAY N
FARGO, ND 58102
Physical Therapist
736 BROADWAY N
FARGO, ND 58102
Physical Medicine & Rehabilitation
736 BROADWAY N
FARGO, ND 58102
Physical Therapist
736 BROADWAY N
FARGO, ND 58102

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 Mitchell Likness's NPI number?

The NPI number for Mitchell Likness is 1073091757. It was assigned to this individual provider in the NPPES registry on August 3, 2018.

Where is Mitchell Likness located?

Mitchell Likness practices at 736 Broadway N, Fargo, ND 58102. The listed phone number is (605) 280-0669.

What is Mitchell Likness's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mitchell Likness enrolled in Medicare?

Yes. Mitchell Likness is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mitchell Likness accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Mitchell Likness 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.

Is Mitchell Likness affiliated with any hospitals?

According to CMS data, Mitchell Likness is affiliated with Prairie Ridge Hospital And Health Services and Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Mitchell Likness was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.