ESSENTIA HEALTH-DETROIT LAKES/HWY 10 CLINIC
NPI 1164978599
Clinic/Center - Multi-Specialty in Detroit Lakes, MN
About Essentia Health-detroit Lakes/hwy 10 Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESSENTIA HEALTH-DETROIT LAKES/HWY 10 CLINIC (NPI 1164978599) is a healthcare organization registered as a multi-specialty in Detroit Lakes, Minnesota and active in the NPI registry since August 2016. The organization lists Alan J Hurley, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
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-detroit Lakes/hwy 10 Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
87Medicare enrollment records show 87 clinicians reassign Medicare billing to Essentia Health-Detroit Lakes/Hwy 10 Clinic, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 87Source: 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 Innovis Health LLC's NPI number?
The NPI number for Innovis Health LLC is 1164978599. It was assigned to this organization in the NPPES registry on August 26, 2016. The provider is doing business as Essentia Health-Detroit Lakes/Hwy 10 Clinic.
Where is Innovis Health LLC located?
Innovis Health LLC is located at 1361 Wenner Rd, Detroit Lakes, MN 56501. The listed phone number is (218) 846-9981.
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, 11 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 Innovis Health LLC was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Essentia Health-Detroit Lakes/hwy 10 Clinic · NPI 1164978599
Multi-Specialty organization in Detroit Lakes, Minnesota. Organization record, active in the CMS NPPES registry since August 26, 2016.
## Identity
- **NPI:** 1164978599 (Entity type: Organization)
- **Enumerated:** August 26, 2016
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Innovis Health Llc
- **Organization subpart:** Yes (part of Essentia Health Mbr)
- **Authorized official:** Alan Hurley, COO
## Practice location
- **Address:** 1361 WENNER RD, Detroit Lakes, MN 56501-7918
- **Phone:** (218) 846-9981
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 87 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (47), Family Practice (10), General Surgery (5); 11 practice within 10 miles; [full list](https://npiprofile.com/npi/1164978599/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1164978599) · Data from the CMS NPPES public registry.