INNOVATIVE HEALTH
NPI 1437859782
Clinic/Center - Primary Care in Watford City, ND

Active since March 06, 2023CLIA 35D2276807 · Waiver
340 N MAIN ST STE 311, WATFORD CITY, ND 58854(701) 444-2888(701) 444-2813 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Innovative Health NPPES

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

INNOVATIVE HEALTH (NPI 1437859782) is a healthcare organization registered as a primary care in Watford City, North Dakota and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Lisa Marie Sanford, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1437859782
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameINNOVATIVE HEALTH
Location Address340 N MAIN ST STE 311Watford City, ND 58854-7308
Mailing AddressPo Box 1256Watford City, ND 58854-1256 · (701) 444-2888 · Fax (701) 444-2813
Fax(701) 444-2813
Organization SubpartNo
Authorized OfficialLisa Marie SanfordNurse Practitioner · (701) 444-2888
Enumeration DateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
✔ NPI 1437859782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
340 N MAIN ST STE 311, Watford City, ND 58854

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)

Innovative Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Innovative Health, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1639627979
340 N MAIN ST STE 311
Watford City, ND 58854
(701) 444-2888
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366179509
340 N MAIN ST STE 311
Watford City, ND 58854
(701) 444-2888
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740896828
340 N MAIN ST STE 311
Watford City, ND 58854
(701) 444-2888
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043824501
1750 MARKET DR STE H
Dickinson, ND 58601
(701) 456-1221
✔ PECOS✔ Accepts Medicare12 mi

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 35D2276807

Innovative Health, PLLC · Watford City, ND
Active · expires Feb 14, 2027
CLIA Number35D2276807
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorMisti Breitbach
Laboratory Phone(701) 444-2888
Laboratory LocationInnovative Health, PLLC509 16th St NE, Watford City, ND 58854
CLIA data matches this NPI record on: Name Phone
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 Innovative Health's NPI number?

The NPI number for Innovative Health is 1437859782. It was assigned to this organization in the NPPES registry on March 6, 2023.

Where is Innovative Health located?

Innovative Health is located at 340 N Main St Ste 311, Watford City, ND 58854. The listed phone number is (701) 444-2888.

What is Innovative Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Innovative Health enrolled in Medicare?

Yes. Innovative Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Innovative Health. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Innovative Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2276807) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Innovative Health accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Innovative Health 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 Innovative Health was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.