ESSENTIA HEALTH CASSELTON CLINIC
NPI 1114361177
Family Medicine in Casselton, ND

Active since April 22, 2013CLIA 35D0408185 · Waiver
5 9TH AVE N, CASSELTON, ND 58012(701) 347-4445(701) 347-5276 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Essentia Health Casselton Clinic NPPES

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

ESSENTIA HEALTH CASSELTON CLINIC (NPI 1114361177) is a healthcare organization registered as a family medicine in Casselton, North Dakota and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Alan Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1114361177
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINNOVIS HEALTH LLC
Location Address5 9TH AVE NCasselton, ND 58012-3339
Mailing AddressPo Box 1450 Nw7813Minneapolis, MN 55485-7813 · (701) 364-3300 · Fax (701) 364-8906
Fax(701) 347-5276
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan HurleyCoo · (701) 364-7667
Enumeration DateApril 22, 2013
Last NPPES UpdateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1114361177 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.
5 9TH AVE N, Casselton, ND 58012

Other Names 1

Doing Business AsEssentia Health Casselton Clinic

Other Identifiers 1

Medicaid14510ND

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 Casselton 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 Casselton Clinic, which bills Medicare for the services they deliver. Of these, 4 practice 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
Family Practice
NPI 1730106329
5 9TH AVE N
Casselton, ND 58012
(701) 347-4445
✔ PECOS✔ Accepts Medicare0.2 mi
Chiropractic
NPI 1669837431
5 9TH AVE N
Casselton, ND 58012
(701) 710-0639
✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1104413913
5 9TH AVE N
Casselton, ND 58012
(701) 347-4445
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1962000901
4183 153RD AVE SE
Mapleton, ND 58059
(701) 261-4883
✔ PECOS✔ Accepts Medicare6.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1386322352
14748 42ND ST SE
Chaffee, ND 58079
(701) 371-5975
✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1558811893
3150 SHEYENNE ST STE 240
West Fargo, ND 58078
(701) 364-1530
✔ PECOS15 mi
Physical Therapist in Private Practice
NPI 1659757896
1401 13TH AVE E
West Fargo, ND 58078
(701) 364-5751
16 mi
Family Practice
NPI 1720349541
1401 13TH AVE E
West Fargo, ND 58078
(701) 364-5751
✔ PECOS✔ Accepts Medicare16 mi
Critical Care (Intensivists)
NPI 1336462886
5225 23RD AVE S
Fargo, ND 58104
(701) 417-6428
✔ PECOS✔ Accepts Medicare16 mi
Diagnostic Radiology
NPI 1063999308
5225 23RD AVE S
Fargo, ND 58104
(701) 234-5933
✔ PECOS✔ Accepts Medicare16 mi
General Practice
NPI 1275762924
4110 51ST AVENUE SOUTH
Fargo, ND 58104
(701) 364-8915
✔ PECOS✔ Accepts Medicare16 mi
Radiation Oncology
NPI 1922568963
4752 PRAIRIE POND XING S
Fargo, ND 58104
(612) 839-7461
✔ PECOS✔ Accepts Medicare16 mi
Gastroenterology
NPI 1922039684
5049 33RD AVE S
Fargo, ND 58104
(701) 356-1001
✔ PECOS✔ Accepts Medicare17 mi
Dermatology
NPI 1639121304
4656 40TH AVE S
Fargo, ND 58104
(701) 234-8860
✔ PECOS✔ Accepts Medicare17 mi
Internal Medicine
NPI 1679134399
3902 13TH AVE S STE 3704
Fargo, ND 58103
(701) 364-6600
✔ PECOS✔ Accepts Medicare17 mi
Emergency Medicine
NPI 1801424882
2401 41ST ST S
Fargo, ND 58104
(701) 551-6980
✔ PECOS17 mi
Pediatric Medicine
NPI 1215565908
4110 51ST AVE S
Fargo, ND 58104
(701) 364-3100
✔ PECOS18 mi
Clinical Psychologist
NPI 1144921552
2624 9TH AVE S
Fargo, ND 58103
(209) 915-5777
✔ PECOS18 mi
Cardiac Electrophysiology
NPI 1427050699
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8900
✔ PECOS✔ Accepts Medicare19 mi
Anesthesiology
NPI 1932720877
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8900
✔ PECOS✔ Accepts Medicare19 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 Waiver 35D0408185

Essentia Health Casselton Clinic · Casselton, ND
Active · expires Sep 30, 2027
CLIA Number35D0408185
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorMelanie M. Gullickson
Laboratory Phone(701) 364-4206
Laboratory LocationEssentia Health Casselton Clinic5 9th Ave N, Casselton, ND 58012
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1114361177. It was assigned to this organization in the NPPES registry on April 22, 2013. The provider is doing business as Essentia Health Casselton Clinic.

Where is Innovis Health LLC located?

Innovis Health LLC is located at 5 9th Ave N, Casselton, ND 58012. The listed phone number is (701) 347-4445.

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, 4 practice 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 Waiver (number 35D0408185) is associated with this NPI, valid through September 30, 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.