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MS. AGNES LIEM CPNP-PC, AE-C
NPI 1508097247
Nurse Practitioner - Pediatrics in Minot Afb, ND

Active since July 29, 2009PECOS Enrolled
10 MISSILE AVE, MINOT AFB, ND 58705(701) 723-5138(609) 754-9195 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Agnes Liem Cpnp-pc, Ae-c NPPES

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

MS. AGNES LIEM CPNP-PC, AE-C (NPI 1508097247) is an individual pediatrics provider in Minot Afb, North Dakota, licensed in New York (F382111-1) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508097247
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. AGNES LIEMCredential: CPNP-PC, AE-C
Location Address10 MISSILE AVEMinot Afb, ND 58705-5003
Mailing Address194 Missile AveMinot Afb, ND 58701 · (701) 723-5138
Phone(701) 723-5138
Fax(609) 754-9195
Sole ProprietorNo
Enumeration DateJuly 29, 2009
Last NPPES UpdateApril 28, 2016
✔ NPI 1508097247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in NY · F382111-1✔ Licensed in ND · R43064
Also ListedRegistered NurseTaxonomy 163W00000X · License 601494-1 (NY), 026.0042618 (VT)
10 MISSILE AVE, Minot Afb, ND 58705
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Agnes Liem Cpnp-pc, Ae-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Agnes Liem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Innovis Health, LLC
112 mi
Multi-Specialty
2700 STATE ST
Bismarck, ND 58503
  • Reassigned Medicare billing, North Dakota enrollment
  • 617 clinicians in this Medicare group
NPI 1770201766 (701) 712-4500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASMINE GIANNI NURSE WHNP- BC
Nurse Practitioner (Women's Health)
10 MISSILE AVE
MINOT AFB, ND 58705
Ward County (701) 723-5633
MATTHEW GREGORY VIZER APA-C
Physician Assistant
10 MISSILE AVE
MINOT AFB, ND 58705
Ward County (701) 723-5109
AMBER NICOLE WINKLE LMSW
Social Worker
10 MISSILE AVE
MINOT AFB, ND 58705
Ward County (701) 723-5527
DR. ADAM JOSEPH GUILMINO PH.D.
Psychologist (Counseling)
10 MISSILE AVE
MINOT AFB, ND 58705
Ward County (985) 360-6550
AMBER D CLAYTON LCSW
Social Worker (Clinical)
10 MISSILE AVE
MINOT AFB, ND 58705
Ward County (951) 210-4451
ANTHONY NIELSEN
Physical Therapist
10 MISSILE AVE
MINOT AFB, ND 58705
Ward County (701) 723-5095
DR. AUSTIN MARK ZOHNER DO
General Practice
10 MISSILE AVE
MINOT AFB, ND 58705
Ward County (701) 723-5633
MR. JOSHUA JAMES TURNER LCSW
Social Worker (Clinical)
10 MISSILE AVE
MINOT AFB, ND 58705
Ward County (701) 723-5527

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 Agnes Liem's NPI number?

The NPI number for Agnes Liem is 1508097247. It was assigned to this individual provider in the NPPES registry on July 29, 2009.

Where is Agnes Liem located?

Agnes Liem practices at 10 Missile Ave, Minot Afb, ND 58705. The listed phone number is (701) 723-5138.

What is Agnes Liem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Agnes Liem enrolled in Medicare?

Yes. Agnes Liem is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Agnes Liem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Agnes Liem reassigns Medicare benefits to Innovis Health, LLC (Bismarck, ND). The 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 Agnes Liem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Agnes Liem accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Agnes Liem 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 Agnes Liem was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.