CANOPY MEDICAL CLINIC, PLLC
NPI 1386280261
Nurse Practitioner - Women's Health in Fargo, ND
About Canopy Medical Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANOPY MEDICAL CLINIC, PLLC (NPI 1386280261) is a healthcare organization registered as a women's health in Fargo, North Dakota and active in the NPI registry since November 2019. The organization holds a CLIA Microscopy certificate valid through December 29, 2027 and lists Heidi Selzler-echola, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Canopy Medical Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Canopy Medical Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 for Provider-Performed Microscopy Procedures (PPMP) 35D2176936
Canopy Medical Clinic · Fargo, NDFrequently 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 Canopy Medical Clinic, PLLC's NPI number?
The NPI number for Canopy Medical Clinic, PLLC is 1386280261. It was assigned to this organization in the NPPES registry on November 26, 2019.
Where is Canopy Medical Clinic, PLLC located?
Canopy Medical Clinic, PLLC is located at 1411 32nd St S Ste 1, Fargo, ND 58103. The listed phone number is (701) 306-0943.
What is Canopy Medical Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Canopy Medical Clinic, PLLC enrolled in Medicare?
Yes. Canopy Medical Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Canopy Medical Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Canopy Medical Clinic, PLLC, in Clinical Social Worker, Mental Health Counselor and Nurse Practitioner. 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Canopy Medical Clinic, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 35D2176936) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Canopy Medical Clinic, PLLC accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Canopy Medical Clinic, PLLC 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 Canopy Medical Clinic, PLLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Canopy Medical Clinic, Pllc · NPI 1386280261
Women's Health organization in Fargo, North Dakota. Organization record, active in the CMS NPPES registry since November 26, 2019.
## Identity
- **NPI:** 1386280261 (Entity type: Organization)
- **Enumerated:** November 26, 2019
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **Organization subpart:** No
- **Authorized official:** Heidi Selzler-Echola, MEDICAL DIRECTOR
## Practice location
- **Address:** 1411 32ND ST S STE 1, Fargo, ND 58103-6304
- **Phone:** (701) 306-0943
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Clinical Social Worker (1), Mental Health Counselor (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386280261) · Data from the CMS NPPES public registry.