SPECTRA HEALTH
NPI 1114343423
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Forks, ND

Active since March 11, 2014
212 S 4TH ST, SUITE 301, GRAND FORKS, ND 58201(701) 757-2100(701) 757-0305 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2019, Oct 10, 2018, Sep 25, 2018 (3 updates tracked since 2018).

About Spectra Health NPPES

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

SPECTRA HEALTH (NPI 1114343423) is a healthcare organization registered as a federally qualified health center (fqhc) in Grand Forks, North Dakota and active in the NPI registry since March 2014. The organization lists Ben Shannon, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1114343423
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSPECTRA HEALTH
Location Address212 S 4TH ST, SUITE 301Grand Forks, ND 58201-4777
Mailing Address212 S 4th St Ste 200Grand Forks, ND 58201-4781 · (701) 757-2100 · Fax (701) 757-0305
Fax(701) 757-0305
Organization SubpartNo
Authorized OfficialBen ShannonOperations Manager · (701) 757-2812
Enumeration DateMarch 11, 2014
Last NPPES UpdateJuly 10, 20193 updates tracked since enumeration
✔ NPI 1114343423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
212 S 4TH ST, Grand Forks, ND 58201

Other Identifiers 1

Medicaid05925ND

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)

Spectra Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Spectra Health, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 17 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner10
Mental Health Counselor3
Chiropractic2
Optometry2
Clinical Psychologist1
Family Practice1

Clinicians, nearest first (19)

Nurse Practitioner
NPI 1952718710
212 S 4TH ST STE 301
Grand Forks, ND 58201
(701) 757-2100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730014028
212 S 4TH ST
Grand Forks, ND 58201
(701) 757-2100
✔ PECOSSame address
Nurse Practitioner
NPI 1982861647
212 S 4TH ST STE 301
Grand Forks, ND 58201
(701) 757-2100
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1982489100
212 S 4TH ST STE 200
Grand Forks, ND 58201
(701) 757-2100
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1265879480
212 S 4TH ST; STE 200 - SPECTRA HEALTH
Grand Forks, ND 58201
(701) 757-2800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750693784
212 S 4TH ST; STE 301 - SPECTRA HEALTH
Grand Forks, ND 58201
(701) 757-2100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982210308
212 S 4TH ST STE 301
Grand Forks, ND 58201
(701) 757-2100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154319911
360 DIVISION AVE SUITE 200
Grand Forks, ND 58201
(701) 775-4251
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306221460
210 GATEWAY DR NE STE 1
East Grand Forks, MN 56721
(218) 207-2020
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1073513982
1300 SOUTH COLUMBIA ROAD
Grand Forks, ND 58201
(701) 780-5000
✔ PECOS✔ Accepts Medicare2.1 mi
Chiropractic
NPI 1619121662
4350 S WASHINGTON ST STE 100
Grand Forks, ND 58201
(701) 732-2888
✔ Accepts Medicare3.1 mi
Mental Health Counselor
NPI 1487923751
3301 30TH AVE S STE 101
Grand Forks, ND 58201
(701) 780-9700
✔ PECOS3.1 mi
Chiropractic
NPI 1720835358
4551 S WASHINGTON ST STE K
Grand Forks, ND 58201
(701) 787-1319
✔ Accepts Medicare3.2 mi
Clinical Psychologist
NPI 1164797874
3535 S 31ST ST STE 201
Grand Forks, ND 58201
(701) 780-6821
✔ PECOS✔ Accepts Medicare3.2 mi
Mental Health Counselor
NPI 1336490762
1451 44TH AVE S STE A
Grand Forks, ND 58201
(701) 772-2500
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1003887076
4700 S WASHINGTON ST
Grand Forks, ND 58201
(701) 757-2559
✔ PECOS3.4 mi
Optometry
NPI 1790858306
2200 SO WASHINGTON ST
Grand Forks, ND 58201
(701) 775-3135
✔ PECOS6.5 mi
Nurse Practitioner
NPI 1326048232
4 N PARK ST
Northwood, ND 58267
(701) 587-6060
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1215186523
2101 ELM ST N
Fargo, ND 58102
(701) 232-3241
✔ PECOS71 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Spectra Health's NPI number?

The NPI number for Spectra Health is 1114343423. It was assigned to this organization in the NPPES registry on March 11, 2014.

Where is Spectra Health located?

Spectra Health is located at 212 S 4th St Suite 301, Grand Forks, ND 58201. The listed phone number is (701) 757-2100.

What is Spectra Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Spectra Health enrolled in Medicare?

Yes. Spectra Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spectra Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 6 Medicare specialties reassign their Medicare billing to Spectra Health. 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 (10), Mental Health Counselor (3) and Chiropractic (2). Of these, 8 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spectra Health accept?

Health plans from Blue Cross Blue Shield of North Dakota list Spectra Health 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 Spectra Health was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.