ESSENTIA HEALTH SOUTH UNIVERSITY CLINIC
NPI 1255677084
Family Medicine in Fargo, ND
About Essentia Health South University Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESSENTIA HEALTH SOUTH UNIVERSITY CLINIC (NPI 1255677084) is a healthcare organization registered as a family medicine in Fargo, North Dakota and active in the NPI registry since December 2012. The organization lists Alan J Hurley, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 1
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 South University Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
639Medicare enrollment records show 639 clinicians reassign Medicare billing to Essentia Health South University Clinic, which bills Medicare for the services they deliver. Of these, 75 practice at this address and 369 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 60
Nearest to this location (20)
See all 639Fargo, ND 58103
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 Innovis Health LLC's NPI number?
The NPI number for Innovis Health LLC is 1255677084. It was assigned to this organization in the NPPES registry on December 26, 2012. The provider is doing business as Essentia Health South University Clinic.
Where is Innovis Health LLC located?
Innovis Health LLC is located at 1702 University Dr S, Fargo, ND 58103. The listed phone number is (701) 364-3300.
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), 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, 75 practice at this address and 369 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Essentia Health South University Clinic · NPI 1255677084
Family Medicine organization in Fargo, North Dakota. Organization record, active in the CMS NPPES registry since December 26, 2012.
## Identity
- **NPI:** 1255677084 (Entity type: Organization)
- **Enumerated:** December 26, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Innovis Health Llc
- **Organization subpart:** Yes (part of Essentia Health)
- **Authorized official:** Alan Hurley, COO
## Practice location
- **Address:** 1702 UNIVERSITY DR S, Fargo, ND 58103-4940
- **Phone:** (701) 364-3300 · **Fax:** (701) 364-8906
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 639 clinicians in 60 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (180), Certified Registered Nurse Anesthetist (CRNA) (48), Hospitalist (37); 75 practice at this address and 369 within 10 miles; [full list](https://npiprofile.com/npi/1255677084/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2024
- **Other identifiers:** Medicaid 14510 (ND)
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Source: [NPI Profile](https://npiprofile.com/npi/1255677084) · Data from the CMS NPPES public registry.