CONVENIENT CARE CLINIC, PLLC
NPI 1457017444
Nurse Practitioner - Family in West Fargo, ND

Active since November 13, 2021CLIA 35D2244140 · Waiver
505 32ND AVE E STE B, WEST FARGO, ND 58078(701) 532-1731(701) 532-1940 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 14, 2025, Nov 13, 2021 (2 updates tracked since 2021).

About Convenient Care Clinic, Pllc NPPES

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

CONVENIENT CARE CLINIC, PLLC (NPI 1457017444), doing business as Convenient Care Clinic, is a healthcare organization registered as a family in West Fargo, North Dakota and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through November 28, 2027 and lists Amber L Hewson, Partner/administrator, as its authorized official.

NPPES Registry Identity

NPI1457017444
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCONVENIENT CARE CLINIC, PLLC
Location Address505 32ND AVE E STE BWest Fargo, ND 58078-8490
Mailing Address505 32nd Ave E Ste BWest Fargo, ND 58078-8490 · (701) 532-1731 · Fax (701) 532-1940
Fax(701) 532-1940
Organization SubpartNo
Authorized OfficialAmber L HewsonPartner/administrator · (701) 532-1731
Enumeration DateNovember 13, 2021
Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1457017444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
505 32ND AVE E STE B, West Fargo, ND 58078

Other Names 1

Doing Business AsConvenient Care 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)

Convenient Care Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Convenient Care Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1023164845
505 32ND AVE E STE B
West Fargo, ND 58078
(701) 532-1731
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023491909
505 32ND AVE E STE B
West Fargo, ND 58078
(701) 532-1731
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881436004
505 32ND AVE E STE B
West Fargo, ND 58078
(701) 532-1731
✔ PECOS✔ Accepts Medicare6.1 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 35D2244140

Convenient Care Clinic · West Fargo, ND
Active · expires Nov 28, 2027
CLIA Number35D2244140
Laboratory TypeWalk-In Clinic & Primary
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorSusan C. Nordquist
Laboratory Phone(701) 532-1731
Laboratory LocationConvenient Care Clinic505 32nd Ave E, Suite B, West Fargo, ND 58078
CLIA data matches this NPI record on: Address 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 Convenient Care Clinic, PLLC's NPI number?

The NPI number for Convenient Care Clinic, PLLC is 1457017444. It was assigned to this organization in the NPPES registry on November 13, 2021. The provider is doing business as Convenient Care Clinic.

Where is Convenient Care Clinic, PLLC located?

Convenient Care Clinic, PLLC is located at 505 32nd Ave E Ste B, West Fargo, ND 58078. The listed phone number is (701) 532-1731.

What is Convenient Care Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Convenient Care Clinic, PLLC enrolled in Medicare?

Yes. Convenient Care Clinic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Convenient Care Clinic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Convenient Care Clinic, PLLC. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Convenient Care Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2244140) is associated with this NPI, valid through November 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Convenient Care Clinic, PLLC accept?

Health plans from Blue Cross Blue Shield of North Dakota, Cigna Healthcare and Sanford Health Plan list Convenient Care 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 Convenient Care Clinic, PLLC was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.