ESSENTIA HEALTH-OSGOOD CLINIC
NPI 1144776576
Clinic/Center - Multi-Specialty in Fargo, ND

Active since August 26, 2016CLIA Certified · 2 labs
4622 40TH AVE S, SUITE A, FARGO, ND 58104(701) 364-2909 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, Nov 14, 2018 and 5 more (8 updates tracked since 2016).

About Essentia Health-osgood Clinic NPPES

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

ESSENTIA HEALTH-OSGOOD CLINIC (NPI 1144776576) is a healthcare organization registered as a multi-specialty in Fargo, North Dakota and active in the NPI registry since August 2016. The organization holds 2 active CLIA laboratory certificates and lists Alan J Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1144776576
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameINNOVIS HEALTH LLC
Location Address4622 40TH AVE S, SUITE AFargo, ND 58104-4394
Mailing AddressPo Box 1450 Nw7813Minneapolis, MN 55485-7813 · (701) 364-2909
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan J HurleyCoo · (701) 364-7667
Enumeration DateAugust 26, 2016
Last NPPES UpdateMarch 1, 20248 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1144776576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedOptometristTaxonomy 152W00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
4622 40TH AVE S, Fargo, ND 58104

Other Names 1

Doing Business AsEssentia Health-osgood Clinic

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-osgood Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

639

Medicare enrollment records show 639 clinicians reassign Medicare billing to Essentia Health-Osgood Clinic, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 369 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 60

Nurse Practitioner180
Certified Registered Nurse Anesthetist (CRNA)48
Hospitalist37
Family Practice33
Physical Therapist in Private Practice27
Obstetrics/Gynecology25
Pediatric Medicine20
Emergency Medicine19
52 other specialties250

Nearest to this location (20)

See all 639
Nurse Practitioner
NPI 1508616814
4622 40TH AVE S STE A
Fargo, ND 58104
(701) 364-8900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1003643487
4622 40TH AVE S STE A
Fargo, ND 58104
(218) 364-8900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013564624
4622 40TH AVE S
Fargo, ND 58104
(701) 364-8000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982433082
4622 40TH AVE S STE A
Fargo, ND 58104
(701) 364-8900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316171903
4622 40TH AVE S
Fargo, ND 58104
(701) 364-2909
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982739900
4622 40TH AVENUE SOUTH SUITE A
Fargo, ND 58104
(701) 364-2909
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1639121304
4656 40TH AVE S
Fargo, ND 58104
(701) 234-8860
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1871975490
3955 56TH ST S STE D
Fargo, ND 58104
(701) 417-7500
✔ PECOS✔ Accepts Medicare0.8 mi
Gastroenterology
NPI 1922039684
5049 33RD AVE S
Fargo, ND 58104
(701) 356-1001
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1205481405
4476 31ST AVE S
Fargo, ND 58104
(017) 234-8000
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1093245094
4476 31ST AVE S STE 101
Fargo, ND 58104
(701) 364-8900
✔ PECOS✔ Accepts Medicare1.2 mi
Pediatric Medicine
NPI 1215565908
4110 51ST AVE S
Fargo, ND 58104
(701) 364-3100
✔ PECOS1.2 mi
Radiation Oncology
NPI 1922568963
4752 PRAIRIE POND XING S
Fargo, ND 58104
(612) 839-7461
✔ PECOS✔ Accepts Medicare1.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1619655784
3746 6TH ST E
West Fargo, ND 58078
(915) 203-6464
✔ Accepts Medicare1.3 mi
Emergency Medicine
NPI 1801424882
2401 41ST ST S
Fargo, ND 58104
(701) 551-6980
✔ PECOS1.8 mi
General Practice
NPI 1275762924
4110 51ST AVENUE SOUTH
Fargo, ND 58104
(701) 364-8915
✔ PECOS✔ Accepts Medicare2.0 mi
Cardiac Electrophysiology
NPI 1427050699
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8900
✔ PECOS✔ Accepts Medicare2.0 mi
Anesthesiology
NPI 1932720877
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8900
✔ PECOS✔ Accepts Medicare2.0 mi
Hospitalist
NPI 1912586645
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8000
✔ PECOS✔ Accepts Medicare2.0 mi
Critical Care (Intensivists)
NPI 1194218560
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8000
✔ PECOS✔ Accepts Medicare2.0 mi
See all 639 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 2

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 35D1088791

Essentia Health - Osgood Clinic · Fargo, ND
Active · expires Sep 3, 2028
CLIA Number35D1088791
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2026
Certificate Expiration DateSeptember 3, 2028
Laboratory DirectorKaitlyn E. Wilson
Laboratory Phone(701) 364-7342
Laboratory LocationEssentia Health - Osgood Clinic4622 40th Ave S, Fargo, ND 58104
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 35D0978097

Innovis Health, LLC Dba Essentia Health · Fargo, ND
Active · expires May 29, 2027
CLIA Number35D0978097
Laboratory TypeHospital
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorDr. Thomas C. Ortmeier
Laboratory Phone(701) 364-4330
Laboratory LocationInnovis Health, LLC Dba Essentia Health3000 32nd Ave S, Fargo, ND 58104
CLIA data matches this NPI record on: 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 1144776576. It was assigned to this organization in the NPPES registry on August 26, 2016. The provider is doing business as Essentia Health-Osgood Clinic.

Where is Innovis Health LLC located?

Innovis Health LLC is located at 4622 40th Ave S Suite A, Fargo, ND 58104. The listed phone number is (701) 364-2909.

What is Innovis Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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), 639 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 (180), Certified Registered Nurse Anesthetist (CRNA) (48) and Hospitalist (37). Of these, 7 practice at this address and 369 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Innovis Health LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.