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ESSENTIA HEALTH MID DAKOTA WOMEN'S CENTER BISMARCK
NPI 1578281291
Clinic/Center - Multi-Specialty in Bismarck, ND

Active since August 18, 2022CLIA 35D1026251 · Waiver
1000 E ROSSER AVE, BISMARCK, ND 58501(701) 712-4500 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 23, 2023, Oct 12, 2022, Aug 30, 2022 and 1 more (4 updates tracked since 2022).

About Essentia Health Mid Dakota Women's Center Bismarck NPPES

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

ESSENTIA HEALTH MID DAKOTA WOMEN'S CENTER BISMARCK (NPI 1578281291) is a healthcare organization registered as a multi-specialty in Bismarck, North Dakota and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Alan Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1578281291
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameINNOVIS HEALTH, LLC
Location Address1000 E ROSSER AVEBismarck, ND 58501-4414
Mailing Address1702 University Dr S, Atn: Medical Staff Services-sscFargo, ND 58103-4940
Phone(701) 712-4500
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan HurleyCoo · (701) 364-7667
Enumeration DateAugust 18, 2022
Last NPPES UpdateMarch 1, 20244 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1578281291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
1000 E ROSSER AVE, Bismarck, ND 58501
Open in Google Maps ↗

Other Names 1

Doing Business AsEssentia Health Mid Dakota Women's Center Bismarck

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

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Essentia Health Mid Dakota Women's Center Bismarck 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 Mid Dakota Women's Center Bismarck, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 52 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
Jacquelyn Haugen
Nurse Practitioner
NPI 1558022962
1000 E ROSSER AVE
Bismarck, ND 58501
(701) 712-4500
✔ PECOS✔ Accepts MedicareSame address
April Kautzman, MSN, CNM, WHNP-BC
Certified Nurse Midwife (CNM)
NPI 1982209300
1000 E ROSSER AVE
Bismarck, ND 58501
(701) 712-4500
✔ PECOS✔ Accepts MedicareSame address
Laura Knutson, MD
Obstetrics/Gynecology
NPI 1174941264
1000 E ROSSER AVE
Bismarck, ND 58501
(701) 712-4541
✔ PECOS✔ Accepts MedicareSame address
Rachel Marohl, M.D.
Obstetrics/Gynecology
NPI 1023469715
1000 E ROSSER AVE
Bismarck, ND 58501
(701) 712-4500
✔ PECOS✔ Accepts MedicareSame address
Heather Sandness-Nelson, MD
Obstetrics/Gynecology
NPI 1265872212
1000 E ROSSER AVE
Bismarck, ND 58501
(701) 530-6001
✔ PECOS✔ Accepts MedicareSame address
Kevin Karls, M.D.
Gastroenterology
NPI 1790762086
310 N 10TH ST
Bismarck, ND 58501
(701) 877-2020
✔ PECOS✔ Accepts MedicareSame address
Stephanie Delvo, M.D.
Obstetrics/Gynecology
NPI 1336377357
401 N 9TH ST
Bismarck, ND 58501
(701) 530-6000
✔ PECOS✔ Accepts Medicare0.1 mi
Donald Grenz, MD
Internal Medicine
NPI 1699720995
401 N 9TH ST
Bismarck, ND 58501
(701) 530-6000
✔ PECOS✔ Accepts Medicare0.1 mi
Bilal Ahmed, MD
Endocrinology
NPI 1720025034
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ PECOS✔ Accepts Medicare0.1 mi
Theresa Borrowman, M.D.
Dermatology
NPI 1083694269
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ PECOS✔ Accepts Medicare0.1 mi
Shawna Bradley, DNP
Nurse Practitioner
NPI 1164172144
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4501
✔ PECOS✔ Accepts Medicare0.1 mi
John Erickstad, MD
Family Practice
NPI 1457399644
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ PECOS✔ Accepts Medicare0.1 mi
Kyla Guthmiller, MS, OTR/L
Occupational Therapist in Private Practice
NPI 1912102450
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ Accepts Medicare0.1 mi
Karen Jacobus, MS
Qualified Audiologist
NPI 1649583006
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ Accepts Medicare0.1 mi
Stephanie Jensen, LRD
Registered Dietitian or Nutrition Professional
NPI 1346856002
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4500
✔ Accepts Medicare0.1 mi
Andrew Knudsen, DPM
Podiatry
NPI 1407111321
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4540
✔ PECOS✔ Accepts Medicare0.1 mi
Jessica Lervick, PT
Physical Therapist in Private Practice
NPI 1184801045
401 N 9TH ST
Bismarck, ND 58501
(701) 157-4500
✔ Accepts Medicare0.1 mi
Jason Moe, MD
General Practice
NPI 1396763975
401 N 9TH ST
Bismarck, ND 58501
(701) 530-6000
✔ PECOS✔ Accepts Medicare0.1 mi
Andrew Wilder, MD
Diagnostic Radiology
NPI 1275607509
401 N 9TH ST
Bismarck, ND 58501
(701) 712-4251
✔ PECOS✔ Accepts Medicare0.1 mi
Douglas Renton, M.D.
Gastroenterology
NPI 1972623577
401 N 9TH ST
Bismarck, ND 58501
(017) 124-5007
✔ PECOS✔ Accepts Medicare0.1 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 35D1026251

Essentia Health Mid-Dakota Women's Center · Bismarck, ND
Active · expires Dec 1, 2026
CLIA Number35D1026251
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorMelanie M. Gullickson
Laboratory Phone(701) 712-4500
Laboratory LocationEssentia Health Mid-Dakota Women's Center1000 E Rosser Ave, Bismarck, ND 58501
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 Innovis Health, LLC's NPI number?

The NPI number for Innovis Health, LLC is 1578281291. It was assigned to this organization in the NPPES registry on August 18, 2022. The provider is doing business as Essentia Health Mid Dakota Women's Center Bismarck.

Where is Innovis Health, LLC located?

Innovis Health, LLC is located at 1000 E Rosser Ave, Bismarck, ND 58501. The listed phone number is (701) 712-4500.

What is Innovis Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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, 6 practice at this address and 52 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 35D1026251) is associated with this NPI, valid through December 1, 2026. 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.