ESSENTIA HEALTH-DOWNTOWN MOORHEAD CLINIC
NPI 1164972410
Clinic/Center - Multi-Specialty in Moorhead, MN

Active since October 11, 2016CLIA 24D1089080 · Waiver
720 MAIN AVE, MOORHEAD, MN 56560(218) 359-0399 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2021, Jun 8, 2020, Nov 14, 2018 and 3 more (6 updates tracked since 2016).

About Essentia Health-downtown Moorhead Clinic NPPES

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

ESSENTIA HEALTH-DOWNTOWN MOORHEAD CLINIC (NPI 1164972410) is a healthcare organization registered as a multi-specialty in Moorhead, Minnesota and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through September 9, 2028 and lists Alan Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1164972410
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameINNOVIS HEALTH LLC
Location Address720 MAIN AVEMoorhead, MN 56560-2752
Mailing Address720 Main AveMoorhead, MN 56560-2752 · (218) 359-0399 · Fax (218) 359-0096
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan HurleyCoo · (701) 364-7667
Enumeration DateOctober 11, 2016
Last NPPES UpdateMarch 1, 20246 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1164972410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
720 MAIN AVE, Moorhead, MN 56560

Other Names 1

Doing Business AsEssentia Health-downtown Moorhead 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-downtown Moorhead Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

87

Medicare enrollment records show 87 clinicians reassign Medicare billing to Essentia Health-Downtown Moorhead Clinic, which bills Medicare for the services they deliver. Of these, 58 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner47
Family Practice10
General Surgery5
Physical Therapist in Private Practice4
Clinical Psychologist3
Obstetrics/Gynecology3
Nephrology2
Qualified Audiologist2
11 other specialties11

Nearest to this location (20)

See all 87
Nurse Practitioner
NPI 1497387195
736 BROADWAY N
Fargo, ND 58102
(701) 234-2000
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1790392462
801 BROADWAY N
Fargo, ND 58102
(701) 417-2000
✔ PECOS✔ Accepts Medicare1.2 mi
Endocrinology
NPI 1841670445
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ PECOS✔ Accepts Medicare2.0 mi
Qualified Audiologist
NPI 1790955599
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ Accepts Medicare2.0 mi
Dermatology
NPI 1538308242
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ PECOS✔ Accepts Medicare2.0 mi
Qualified Audiologist
NPI 1871520114
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ Accepts Medicare2.0 mi
Physical Therapist in Private Practice
NPI 1629323027
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ Accepts Medicare2.0 mi
Occupational Therapist in Private Practice
NPI 1437445327
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ Accepts Medicare2.0 mi
Otolaryngology
NPI 1982657128
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ PECOS✔ Accepts Medicare2.0 mi
Geriatric Medicine
NPI 1669483038
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ PECOS✔ Accepts Medicare2.0 mi
Clinical Psychologist
NPI 1639694706
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ PECOS✔ Accepts Medicare2.0 mi
Physical Therapist in Private Practice
NPI 1013808187
801 BELSLY BLVD
Moorhead, MN 56560
(701) 364-6800
2.4 mi
Family Practice
NPI 1396197018
801 BELSLY BOULEVARD
Moorhead, MN 56560
(218) 364-6800
✔ PECOS✔ Accepts Medicare2.4 mi
Family Practice
NPI 1285926360
801 BELSLY BLVD
Moorhead, MN 56560
(218) 364-6800
✔ PECOS✔ Accepts Medicare2.4 mi
Hand Surgery
NPI 1154522746
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8000
✔ PECOS✔ Accepts Medicare4.0 mi
Nephrology
NPI 1518997691
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8000
✔ Accepts Medicare4.0 mi
Certified Nurse Midwife (CNM)
NPI 1326373127
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8000
✔ PECOS✔ Accepts Medicare4.1 mi
Nephrology
NPI 1093096406
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8000
✔ PECOS✔ Accepts Medicare4.1 mi
Anesthesiology
NPI 1336189539
3000 32ND AVE S
Fargo, ND 58103
(701) 364-8000
✔ PECOS✔ Accepts Medicare4.1 mi
General Surgery
NPI 1639115868
3000 32ND AVE S SUITE 140
Fargo, ND 58103
(701) 364-8000
✔ PECOS✔ Accepts Medicare4.1 mi
See all 87 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 24D1089080

Essentia Health - Downtown Moorhead · Moorhead, MN
Active · expires Sep 9, 2028
CLIA Number24D1089080
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2026
Certificate Expiration DateSeptember 9, 2028
Laboratory DirectorKaitlyn E. Wilson
Laboratory Phone(701) 364-7342
Laboratory LocationEssentia Health - Downtown Moorhead720 Main Ave, Moorhead, MN 56560
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 1164972410. It was assigned to this organization in the NPPES registry on October 11, 2016. The provider is doing business as Essentia Health-Downtown Moorhead Clinic.

Where is Innovis Health LLC located?

Innovis Health LLC is located at 720 Main Ave, Moorhead, MN 56560. The listed phone number is (218) 359-0399.

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), 87 clinicians in 19 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 (47), Family Practice (10) and General Surgery (5). Of these, 58 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 24D1089080) is associated with this NPI, valid through September 9, 2028. 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.