ESSENTIA HEALTH WEST FARGO CLINIC
NPI 1487990339
Family Medicine in West Fargo, ND
About Essentia Health West Fargo Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESSENTIA HEALTH WEST FARGO CLINIC (NPI 1487990339) is a healthcare organization registered as a family medicine in West Fargo, North Dakota and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Alan J Hurley, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Essentia Health West Fargo Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
614Medicare enrollment records show 614 clinicians reassign Medicare billing to Essentia Health West Fargo Clinic, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 359 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 614Source: 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 35D0930424
Essentia Health - West Fargo · West 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 Innovis Health LLC's NPI number?
The NPI number for Innovis Health LLC is 1487990339. It was assigned to this organization in the NPPES registry on December 21, 2012. The provider is doing business as Essentia Health West Fargo Clinic.
Where is Innovis Health LLC located?
Innovis Health LLC is located at 1401 13th Ave E, West Fargo, ND 58078. The listed phone number is (701) 364-5751.
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), 614 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 (170), Certified Registered Nurse Anesthetist (CRNA) (48) and Hospitalist (36). Of these, 8 practice at this address and 359 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Innovis Health LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 35D0930424) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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 West Fargo Clinic · NPI 1487990339
Family Medicine organization in West Fargo, North Dakota. Organization record, active in the CMS NPPES registry since December 21, 2012.
## Identity
- **NPI:** 1487990339 (Entity type: Organization)
- **Enumerated:** December 21, 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:** 1401 13TH AVE E, West Fargo, ND 58078-3468
- **Phone:** (701) 364-5751 · **Fax:** (701) 364-5750
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 614 clinicians in 60 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (170), Certified Registered Nurse Anesthetist (CRNA) (48), Hospitalist (36); 8 practice at this address and 359 within 10 miles; [full list](https://npiprofile.com/npi/1487990339/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487990339) · Data from the CMS NPPES public registry.