ESSENTIA HEALTH JAMESTOWN CLINIC
NPI 1073793725
Family Medicine in Jamestown, ND

Active since November 10, 2007CLIA 35D0408726 · Accreditation
2430 20TH ST SW, JAMESTOWN, ND 58401(701) 253-5300(701) 253-5300 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: Oct 1, 2021, Dec 30, 2019 (2 updates tracked since 2019).

About Essentia Health Jamestown Clinic NPPES

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

ESSENTIA HEALTH JAMESTOWN CLINIC (NPI 1073793725) is a healthcare organization registered as a family medicine in Jamestown, North Dakota and active in the NPI registry since November 2007. The organization holds an CLIA Accreditation certificate valid through April 2, 2027 and lists Alan J Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1073793725
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINNOVIS HEALTH, LLC.
Location Address2430 20TH ST SWJamestown, ND 58401-6201
Mailing AddressPo Box 1450 Nw7813Minneapolis, MN 55485-7813 · (701) 253-5300 · Fax (701) 253-5402
Fax(701) 253-5300
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan J HurleyCoo · (701) 364-7667
Enumeration DateNovember 10, 2007
Last NPPES UpdateMarch 1, 20242 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1073793725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2430 20TH ST SW, Jamestown, ND 58401

Other Names 1

Doing Business AsEssentia Health Jamestown Clinic

Other Identifiers 1

Medicaid447187000MN

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 Jamestown 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 Jamestown Clinic, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 11 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
Nurse Practitioner
NPI 1578300653
2430 20TH ST SW
Jamestown, ND 58401
(701) 253-5300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740887207
2430 20TH ST SW
Jamestown, ND 58401
(701) 253-5300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447378104
2430 20TH ST SW
Jamestown, ND 58401
(701) 253-5300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265211403
2430 20TH ST SW
Jamestown, ND 58401
(701) 253-5300
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1932984028
2430 20TH ST SW
Jamestown, ND 58401
(701) 253-5300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457872640
2430 20TH ST SW
Jamestown, ND 58401
(701) 253-5300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487023180
2430 20TH ST SW
Jamestown, ND 58401
(701) 253-5300
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1346338100
2430 20TH ST SW
Jamestown, ND 58401
(701) 253-5300
✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1598705758
401 3RD ST SE
Jamestown, ND 58401
(701) 253-5300
✔ PECOS2.4 mi
Family Practice
NPI 1316986649
401 3RD ST SE
Jamestown, ND 58401
(701) 253-5300
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1144568767
904 5TH AVE NE
Jamestown, ND 58401
(701) 253-4000
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1740576115
132 4TH AVE NE
Valley City, ND 58072
(701) 845-8060
✔ PECOS✔ Accepts Medicare36 mi
Physical Therapist in Private Practice
NPI 1144641036
132 4TH AVE NE
Valley City, ND 58072
(701) 845-8060
✔ Accepts Medicare36 mi
Family Practice
NPI 1780629311
132 4TH AVE NE
Valley City, ND 58072
(701) 845-8060
✔ PECOS✔ Accepts Medicare36 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1386322352
14748 42ND ST SE
Chaffee, ND 58079
(701) 371-5975
✔ Accepts Medicare65 mi
Chiropractic
NPI 1669837431
5 9TH AVE N
Casselton, ND 58012
(701) 710-0639
✔ Accepts Medicare73 mi
Radiation Oncology
NPI 1922568963
4752 PRAIRIE POND XING S
Fargo, ND 58104
(612) 839-7461
✔ PECOS✔ Accepts Medicare88 mi
Critical Care (Intensivists)
NPI 1336462886
5225 23RD AVE S
Fargo, ND 58104
(701) 417-6428
✔ PECOS✔ Accepts Medicare89 mi
Diagnostic Radiology
NPI 1063999308
5225 23RD AVE S
Fargo, ND 58104
(701) 234-5933
✔ PECOS✔ Accepts Medicare89 mi
General Practice
NPI 1275762924
4110 51ST AVENUE SOUTH
Fargo, ND 58104
(701) 364-8915
✔ PECOS✔ Accepts Medicare89 mi
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

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 35D0408726

Essentia Health - Jamestown Clinic · Jamestown, ND
Active · expires Apr 2, 2027
CLIA Number35D0408726
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorMelanie Gullickson
Laboratory Phone(701) 253-5335
Laboratory LocationEssentia Health - Jamestown Clinic2430 20th St SW, Jamestown, ND 58401
CLIA data matches this NPI record on: Address 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 1073793725. It was assigned to this organization in the NPPES registry on November 10, 2007. The provider is doing business as Essentia Health Jamestown Clinic.

Where is Innovis Health, LLC. located?

Innovis Health, LLC. is located at 2430 20th St SW, Jamestown, ND 58401. The listed phone number is (701) 253-5300.

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, 8 practice at this address and 11 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 Accreditation (number 35D0408726) is associated with this NPI, valid through April 2, 2027. 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.