ESSENTIA HEALTH-NORTH FARGO CLINIC
NPI 1568918902
Clinic/Center - Occupational Medicine in Fargo, ND

Active since August 26, 2016CLIA 35D2047109 · Waiver
1100 19TH AVE N, SUITE L & M, FARGO, ND 58102(701) 356-1150 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 1, 2021, Dec 30, 2019, Nov 14, 2018 and 5 more (8 updates tracked since 2016).

About Essentia Health-north Fargo Clinic NPPES

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

ESSENTIA HEALTH-NORTH FARGO CLINIC (NPI 1568918902) is a healthcare organization registered as an occupational medicine in Fargo, North Dakota and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through September 17, 2028 and lists Alan J Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1568918902
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameINNOVIS HEALTH LLC
Location Address1100 19TH AVE N, SUITE L & MFargo, ND 58102-5906
Mailing AddressPo Box 1450 Nw7813Minneapolis, MN 55485-7813 · (701) 356-1150
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan J HurleyCoo · (701) 364-7667
Enumeration DateAugust 26, 2016
Last NPPES UpdateMarch 1, 20248 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1568918902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
1100 19TH AVE N, Fargo, ND 58102

Other Names 1

Doing Business AsEssentia Health-north Fargo 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)

Essentia Health-north Fargo Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

614

Medicare enrollment records show 614 clinicians reassign Medicare billing to Essentia Health-North Fargo Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 359 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 60

Nurse Practitioner170
Certified Registered Nurse Anesthetist (CRNA)48
Hospitalist36
Family Practice28
Physical Therapist in Private Practice25
Obstetrics/Gynecology22
Pediatric Medicine20
Emergency Medicine19
52 other specialties246

Nearest to this location (20)

See all 614
Optometry
NPI 1053404806
1100 19TH AVE N STE L&M
Fargo, ND 58102
(701) 365-1150
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1679955280
2101 ELM ST N
Fargo, ND 58102
(701) 364-3300
✔ PECOS1.0 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1629468582
2101 ELM ST N
Fargo, ND 58102
(701) 232-3265
✔ Accepts Medicare1.0 mi
Internal Medicine
NPI 1770509382
2101 ELM ST N
Fargo, ND 58102
(701) 239-3700
✔ PECOS✔ Accepts Medicare1.0 mi
Hospitalist
NPI 1225316318
2101 ELM STREET N
Fargo, ND 58102
(701) 239-3700
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1851077010
801 BROADWAY N
Fargo, ND 58102
(320) 226-9622
✔ PECOS✔ Accepts Medicare1.4 mi
Nephrology
NPI 1033189949
801 BROADWAY N
Fargo, ND 58102
(701) 234-2000
✔ PECOS1.4 mi
Vascular Surgery
NPI 1154355311
801 BROADWAY N
Fargo, ND 58102
(701) 234-5121
✔ PECOS✔ Accepts Medicare1.4 mi
Pathology
NPI 1164440731
801 BROADWAY N
Fargo, ND 58102
(701) 234-2350
✔ PECOS✔ Accepts Medicare1.4 mi
Gastroenterology
NPI 1396038162
801 BROADWAY N
Fargo, ND 58102
(701) 234-2000
✔ PECOS✔ Accepts Medicare1.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1407128135
801 BROADWAY N
Fargo, ND 58102
(701) 234-5621
✔ PECOS✔ Accepts Medicare1.4 mi
Urology
NPI 1710125893
801 BROADWAY N
Fargo, ND 58102
(701) 234-2301
✔ PECOS✔ Accepts Medicare1.4 mi
Anesthesiology
NPI 1598857088
801 BROADWAY N
Fargo, ND 58102
(701) 234-6355
✔ PECOS✔ Accepts Medicare1.4 mi
Clinical Psychologist
NPI 1144921552
2624 9TH AVE S
Fargo, ND 58103
(209) 915-5777
✔ PECOS3.0 mi
Clinical Social Worker
NPI 1295040517
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ PECOS✔ Accepts Medicare3.5 mi
Medical Oncology
NPI 1639169675
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ PECOS✔ Accepts Medicare3.5 mi
Dermatology
NPI 1912359977
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 364-3300
✔ PECOS✔ Accepts Medicare3.5 mi
Pediatric Medicine
NPI 1730673302
1702 UNIVERSITY DR S
Fargo, ND 58103
(701) 436-4033
✔ PECOS3.5 mi
Occupational Therapist in Private Practice
NPI 1629628748
1702 UNIVERSITY DR S
Fargo, ND 58103
(218) 786-8364
✔ Accepts Medicare3.5 mi
Hematology/Oncology
NPI 1841201746
1702 UNIVERSITY DR S
Fargo, ND 58103
(013) 648-9007
✔ PECOS✔ Accepts Medicare3.5 mi
See all 614 clinicians

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 35D2047109

Essentia Health - North Fargo Occup Medicine · Fargo, ND
Active · expires Sep 17, 2028
CLIA Number35D2047109
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2026
Certificate Expiration DateSeptember 17, 2028
Laboratory DirectorKaitlyn E. Wilson
Laboratory Phone(701) 364-3335
Laboratory LocationEssentia Health - North Fargo Occup Medicine1100 19th Ave N Suite L&m, Fargo, ND 58102
CLIA data matches this NPI record on: Address
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 Innovis Health LLC's NPI number?

The NPI number for Innovis Health LLC is 1568918902. It was assigned to this organization in the NPPES registry on August 26, 2016. The provider is doing business as Essentia Health-North Fargo Clinic.

Where is Innovis Health LLC located?

Innovis Health LLC is located at 1100 19th Ave N Suite L & M, Fargo, ND 58102. The listed phone number is (701) 356-1150.

What is Innovis Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

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, 1 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 35D2047109) is associated with this NPI, valid through September 17, 2028. 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.