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LILLESTOL RESEARCH LLC
NPI 1104108695
Nurse Practitioner in Fargo, ND

Active since September 12, 2011CLIA 35D1061484 · Waiver
1711 GOLD DR S, SUITE 170, FARGO, ND 58103(701) 232-7705(701) 893-9046 Get Directions Write a Review

NPPES record last updated: September 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lillestol Research Llc NPPES

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

LILLESTOL RESEARCH LLC (NPI 1104108695) is a healthcare organization registered as a nurse practitioner in Fargo, North Dakota and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through November 19, 2026 and lists Michael John Lillestol, President, as its authorized official.

NPPES Registry Identity

NPI1104108695
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLILLESTOL RESEARCH LLC
Location Address1711 GOLD DR S, SUITE 170Fargo, ND 58103-6416
Mailing Address1711 Gold Dr S, Suite 170Fargo, ND 58103-6416 · (701) 232-7705 · Fax (701) 893-9046
Phone(701) 232-7705
Fax(701) 893-9046
Organization SubpartNo
Authorized OfficialMichael John LillestolPresident · (701) 232-7705
Enumeration DateSeptember 12, 2011
✔ NPI 1104108695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ND · R30611
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1711 GOLD DR S, Fargo, ND 58103
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

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 35D1061484

Lillestol Research LLC · Fargo, ND
Active · expires Nov 19, 2026
CLIA Number35D1061484
Laboratory TypeIndependent
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorMichael J. Lillestol
Laboratory Phone(701) 232-7705
Laboratory LocationLillestol Research LLC4450 31st Ave S, Suite 101, Fargo, ND 58104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

HUNTER STEMMER PT,DPT
Physical Therapist
1711 GOLD DR S, SUITE 120
FARGO, ND 58103
Cass County (701) 451-9417
JAMIE M BROWN PA-C
Physician Assistant (Medical)
1711 GOLD DR S, SUITE 170
FARGO, ND 58103
Cass County (701) 232-7705
ALYSSA BRIGGS OTR/ L
Occupational Therapist
1711 GOLD DR S
FARGO, ND 58103
Cass County (701) 451-9417
MRS. SARAH J WILSON OTR/L
Specialist
1711 GOLD DR S, SUITE 120
FARGO, ND 58103
Cass County (701) 451-9417
MITCHELL WOLDEN P.T., D.P.T.
Physical Therapist
1711 GOLD DR S, SUITE 120
FARGO, ND 58103
Cass County (701) 451-9417
MR. PETER ALAN ANDERSON P.T./D.P.T.
Physical Therapist
1711 GOLD DR S, SUITE 120
FARGO, ND 58103
Cass County (701) 451-9417
PROFESSIONAL REHABILITATION CENTER
Clinic/Center (Physical Therapy)
1711 GOLD DR S, SUITE 120
FARGO, ND 58103
Cass County (701) 451-9417

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 Lillestol Research LLC's NPI number?

The NPI number for Lillestol Research LLC is 1104108695. It was assigned to this organization in the NPPES registry on September 12, 2011.

Where is Lillestol Research LLC located?

Lillestol Research LLC is located at 1711 Gold Dr S Suite 170, Fargo, ND 58103. The listed phone number is (701) 232-7705.

What is Lillestol Research LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Lillestol Research LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D1061484) is associated with this NPI, valid through November 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lillestol Research LLC accept?

Health plans from Medica and Sanford Health Plan list Lillestol Research 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 Lillestol Research LLC was last updated on September 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.