MINOT HEALTH CLINIC
NPI 1477970846
Clinic/Center - Primary Care in Minot, ND

Active since March 24, 2014CLIA 35D2078988 · Waiver
1021 20TH AVE SW STE 113, MINOT, ND 58701(701) 837-1551 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2021, Aug 18, 2020 (2 updates tracked since 2020).

About Minot Health Clinic NPPES

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

MINOT HEALTH CLINIC (NPI 1477970846) is a healthcare organization registered as a primary care in Minot, North Dakota and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Trisha Fennern, Owner/practitioner, as its authorized official.

NPPES Registry Identity

NPI1477970846
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMINOT HEALTH CLINIC, PLLC
Location Address1021 20TH AVE SW STE 113Minot, ND 58701-6487
Mailing Address1021 20th Ave Sw Ste 113Minot, ND 58701-6487 · (701) 837-1551 · Fax (701) 837-1540
Organization SubpartNo
Authorized OfficialTrisha FennernOwner/practitioner · (701) 837-1551
Enumeration DateMarch 24, 2014
Last NPPES UpdateFebruary 8, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1477970846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in ND · R30827
1021 20TH AVE SW STE 113, Minot, ND 58701

Other Names 1

Doing Business AsMinot Health Clinic

Other Identifiers 3

Other1013220490ND · Bcbs
Other715283ND · Medicare
Medicaid84015ND

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)

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

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Minot Health Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1013220490
1021 20TH AVE SW STE 113
Minot, ND 58701
(701) 837-1551
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1417364126
1021 20TH AVE SW STE 113
Minot, ND 58701
(701) 837-1551
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851074033
1600 2ND AVE SW STE 19
Minot, ND 58701
(701) 852-4600
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1043508526
400 BURDICK EXPY E
Minot, ND 58701
(701) 857-7382
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1982853776
194 MISSILE AVE
Minot Afb, ND 58705
(701) 723-5494
✔ PECOS14 mi
Nurse Practitioner
NPI 1942749247
615 6TH ST SE
Stanley, ND 58784
(701) 628-2505
✔ PECOS✔ Accepts Medicare50 mi
Nurse Practitioner
NPI 1558701615
4476 31ST AVE S STE 101
Fargo, ND 58104
(701) 234-9400
✔ PECOS✔ Accepts Medicare229 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 35D2078988

Minot Health Clinic · Minot, ND
Active · expires Jun 8, 2028
CLIA Number35D2078988
Laboratory TypeIndependent
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorTrisha J. Fennern
Laboratory Phone(701) 355-6323
Laboratory LocationMinot Health Clinic1021 20th Ave SW Suite 113, Minot, ND 58701
CLIA data matches this NPI record on: Address Name
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 Minot Health Clinic, PLLC's NPI number?

The NPI number for Minot Health Clinic, PLLC is 1477970846. It was assigned to this organization in the NPPES registry on March 24, 2014. The provider is doing business as Minot Health Clinic.

Where is Minot Health Clinic, PLLC located?

Minot Health Clinic, PLLC is located at 1021 20th Ave SW Ste 113, Minot, ND 58701. The listed phone number is (701) 837-1551.

What is Minot Health Clinic, PLLC's specialty?

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

Is Minot Health Clinic, PLLC enrolled in Medicare?

Yes. Minot Health Clinic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Minot Health Clinic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Minot Health 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 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Minot Health Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2078988) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Minot Health Clinic, PLLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Minot Health 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 Minot Health Clinic, PLLC was last updated on February 8, 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.