HEALTHSOURCE OF NORTH FARGO
NPI 1164847604
Chiropractor in Fargo, ND
About Healthsource Of North Fargo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTHSOURCE OF NORTH FARGO (NPI 1164847604) is a healthcare organization registered as a chiropractor in Fargo, North Dakota and active in the NPI registry since February 2014. The organization lists Jennifer Kay Osland, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Healthsource Of North Fargo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Healthsource Of North Fargo, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Mason Orth PC's NPI number?
The NPI number for Mason Orth PC is 1164847604. It was assigned to this organization in the NPPES registry on February 20, 2014. The provider is doing business as Healthsource Of North Fargo.
Where is Mason Orth PC located?
Mason Orth PC is located at 2802 Broadway N, Fargo, ND 58102. The listed phone number is (920) 851-1692.
What is Mason Orth PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Mason Orth PC enrolled in Medicare?
Yes. Mason Orth PC is registered in the Medicare PECOS enrollment system.
When is Mason Orth PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Dakota, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mason Orth PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Chiropractic, reassign their Medicare billing to Mason Orth PC. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mason Orth PC was last updated on February 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Healthsource Of North Fargo · NPI 1164847604
Chiropractor organization in Fargo, North Dakota. Organization record, active in the CMS NPPES registry since February 20, 2014.
## Identity
- **NPI:** 1164847604 (Entity type: Organization)
- **Enumerated:** February 20, 2014
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Legal business name:** Mason Orth Pc
- **Organization subpart:** No
- **Authorized official:** Jennifer Osland, OFFICE MANAGER
## Practice location
- **Address:** 2802 BROADWAY N, Fargo, ND 58102-1420
- **Phone:** (920) 851-1692
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, North Dakota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1164847604) · Data from the CMS NPPES public registry.